Lumbermen's | THE credit bureau for building material suppliers & financial institutions.


Personal Report Request Form
The undersigned, desiring to use your services at $50 per Credit Report, agrees to hold Lumbermen’s and all their agents harmless on account of any expense or damage arising or resulting from the publishing or other disclosure on any credit report. Recognizing that information is secured by and through fallible means, the undersigned agrees to release Lumbermen’s and their agents from liability for any negligence in connection with the preparation of any Credit Reports and from any expense suffered resulting from the Report. I authorize Lumbermen’s to obtain my own personal credit report to be used only in conjunction to send it to the proper Licensing Board to obtain a Contractor’s License.

Name
Social Security #
Phone Number
Fax Number
Address

City
State
Zip Code
Country

Previous Address if at current address less than two years:
Address

City
State
Zip Code
Country

(Note: Complete Spouse only if requesting a personal report on your spouse)
Spouse
Social Security #

ADDRESS where Report should be mailed (If different from above) OR Click here if you want to pick up in our office.
Address

City
State
Zip Code
Country

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