[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-284436-105":53,"doc-detail-284436-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","credit-bureau-dispute-form","Credit Bureau Dispute Form","","This document provides a formal Credit Bureau Dispute Form designed for customers of First Midwest Bank to contest inaccurate information reported to credit bureaus such as Equifax, Experian, Innovis, and TransUnion. The form requires the user to provide personal identification details, specify the account numbers in question, and categorize the nature of the dispute—whether related to account balances, payment history, or incorrect credit status. It emphasizes the need for supporting documentation, such as copies of credit reports, proof of payment, and, in cases of suspected fraud, identity verification documents. The form includes clear instructions for submission via mail or fax to the bank's Credit Dispute Department, ensuring a structured process for resolving financial discrepancies.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/credit-bureau-dispute-form/284436/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/credit-bureau-dispute-form/284436.png","ImageObject",442,249,{"name":88,"@type":89},"Asher","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-23","2026-09-17",true,{"@type":98,"interactionType":99,"userInteractionCount":8},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"Which credit bureaus does First Midwest Bank report to?","Question",{"text":108,"@type":109},"First Midwest Bank reports to Equifax, Experian, Innovis, and TransUnion.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What documentation should I include if my dispute is based on fraud?",{"text":113,"@type":109},"If the dispute is based on possible fraud, you must provide a copy of your driver's license and your social security card.",{"name":115,"@type":106,"acceptedAnswer":116},"Where should I send the completed dispute form and supporting documents?",{"text":117,"@type":109},"The form and supporting documents should be sent to the First Midwest Bank Credit Dispute Department, located at 20 West Stoddard, P.O. Box 158, Dexter, MO 63841, or faxed to 573-624-6430.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},284436,1791300795,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":8,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":4},687197207639,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","CREDIT BUREAU DISPUTE FORM  \nMember FDIC  \n***Please complete this form in its entirety***  \nFull Name: Social Security Number:  \n\n| Address: |  |\n| --- | --- |\n| City: |  |\n| State | Zip: |\n| E-mail: |  |\n\n\n| Date of Birth: |\n| --- |\n| Home Phone: |\n| Mobile/Cell Phone: |\n| Work Phone: |\n\n\n| First 0LGZHVW Bank reports to the following credit bureaus listed below. Please mark ZKLFK EXUHDX􀀊V UHSRUW you are disputing:\u003Cbr> Equifax  Experian  Innovis  TransUnion   \u003Cbr>**PLEASE PROVIDE A COPY OF THE CREDIT REPORT THAT SUPPORTS YOUR DISPUTE.** |  |  |\n| --- | --- | --- |\n| Account number(s) as listed on credit report that are being disputed:   |  |  |\n| Please check the appropriate box(es) which describes the information you believe to be incorrect: |  |  |\n| BALANCE: |  |  |\n|  Reported as $ \u003Cbr>Explanation: | Should Be $  |  Account Paid Off |\n\nPAYMENT:  \n Not Reported  Not Past Due  Last Payment Date  \nInclude proof of payment. (Example: Copies of Cancelled Checks; Account Statement)  \nExplanation:  \n\n|  |  |\n| --- | --- |\n| CREDIT STATUS INCORRECT: |  |\n|  Reported as   Should Be   Not my Loan\u003Cbr> Other:  |  |\n| **If your dispute is based on possible fraud, please provide a copy of your driver's license & social security card. |  |\n| The statements I have made on this request are true and accurate to the best of my knowledge.\u003Cbr>Signature:  Date:  |  |\n| Return this form and the supporting documents to: | First Midwest Bank |\n| Fax: 573 624-6430 | Attn: Credit Dispute Department\u003Cbr>20 West Stoddard\u003Cbr>P O Box 158\u003Cbr>Dexter, MO 63841 |\n\nDate Received: Date Investigation Completed:  \nPrint Form","cbCailXviI6x4BtE","https://ap.wps.com/l/cbCailXviI6x4BtE","pdf",152950,"English","# Personal Information\n# Dispute Details\n## Balance Disputes\n## Payment Disputes\n## Credit Status Disputes\n# Submission Instructions","[{\"question\":\"Which credit bureaus does First Midwest Bank report to?\",\"answer\":\"First Midwest Bank reports to Equifax, Experian, Innovis, and TransUnion.\"},{\"question\":\"What documentation should I include if my dispute is based on fraud?\",\"answer\":\"If the dispute is based on possible fraud, you must provide a copy of your driver's license and your social security card.\"},{\"question\":\"Where should I send the completed dispute form and supporting documents?\",\"answer\":\"The form and supporting documents should be sent to the First Midwest Bank Credit Dispute Department, located at 20 West Stoddard, P.O. Box 158, Dexter, MO 63841, or faxed to 573-624-6430.\"}]","Credit Bureau Dispute Form | PDF",1789628761]