SAMPLE CONSUMER DENIAL LETTER 
 
Date 
 
[Applicant’s Name] 
[Applicant’s Address] 
[City, State, Zip] 
 
Dear [Applicant’s Name]: 
 
This letter is to notify you that we have denied your application for [e.g. Credit or 
Employment] based upon the policies or criteria of our company, including information 
received from the below referenced consumer credit reporting agency.  As part of our 
normal application process, we check the [credit standing or background check] of our 
applicants.  You authorized us to obtain a consumer report.  Based in whole or in part on 
the information in your consumer report we obtained, we are regretfully unable to 
approve your application at this time. 
 
When a credit report is used in making the decision, the Fair Credit Reporting Act 
requires us to tell you where we obtained that report. The consumer reporting bureau that 
provided your credit report was [Insert name & contact information]. 
  
That company may also have obtained information on you from one or more of the 
consumer reporting agencies whose names, addresses and phone numbers are listed 
below. They and the other agencies only provide information about your credit history. 
They took no part in making the decision, nor can they explain why the decision was 
made. The following (checked) consumer reporting agencies supplied your credit 
information: 
 
[   ]  Experian Consumer Assistance Center, P. O. Box 2002, Allen, TX 75013 Tel. 866-200-6020 
[   ]  Trans Union Consumer Relations, 2 Baldwin Place, P. O. Box 1000, Chester, PA 19022 
        Tel.  800-888-4213 
[   ]  Equifax Credit Information Service, P. O. Box 740241, Atlanta, GA 30374-2041 
        Tel. 800-685-1111 
 
You have the right to confirm the nature and scope of the information contained in the 
consumer report we received from [insert name of consumer reporting agency] by 
obtaining a free copy of the report from them no later than 60 days after you receive 
notice of this action.  Further, you have the right to dispute the accuracy or completeness 
of the report with the consumer reporting agency.   
 
You may also have additional rights under applicable credit reporting or consumer 
protection laws of your state. If you desire you may contact your state or local consumer 
protection agency or a state Attorney General's office. 
 
If you have any questions concerning your application or the information set forth in this 
notification letter please contact [insert company & contact information].