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twn_Employment_Data_Freeze_Placement_Form

An employment data freeze can be requested to prevent third-party access to employment data by submitting a form along with proof of identity and address. Required documents include valid identification and recent proof of address, with specific options listed. The request will be processed within three days, and a PIN will be sent for future access management.

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13 views

twn_Employment_Data_Freeze_Placement_Form

An employment data freeze can be requested to prevent third-party access to employment data by submitting a form along with proof of identity and address. Required documents include valid identification and recent proof of address, with specific options listed. The request will be processed within three days, and a PIN will be sent for future access management.

Uploaded by

alexvshukla
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Employment Data Freeze Placement

An employment data freeze is one step you can take to help prevent access to your employment data by a third party.
To request an employment data freeze, simply complete and return this form along with a photocopy of the following:

Proof of Identity – provide one (must include current/legal name): Proof of Address – provide one (must include current mailing address
and be dated within the last 60 days)
Driver’s License (Must Be Valid) Utility Bill (phone, water, gas, electric, trash or sewer, etc.)
State or Government Identification Card (Must Be Valid) Paystub
Social Security Identification Card Housing Rental Agreement or Mortgage document - Must be
Military Identification Card current & in your name
Passport (U.S. Only & Must Be Valid) Driver's License
W-2 or 1099 Form (Current Year) W-2 or 1099 Form (Current Year)
Paystubs - Must be dated within the last 60 days
Birth Certificate
* Indicates a mandatory field. If you are requesting an Employment Data Freeze for a minor or incapacitated individual, please contact us through The
Work Number Employee Service Center: 1-866-222-5880; TTY-hearing impaired: 1-800-424-0253 Mon–Fri; 9:00 a.m. – 8:00 p.m. ET

After completing this form, please return it with the required proof documentation by mail or email.

1 If using email, be sure to only send the completed form via our Secure Email channel, Virtru. If you have not received a
secure email, send an email to the following, [email protected], requesting a secure email to return the form and
proof documentation.

Equifax Workforce Solutions


ATTN: Employment Data Freeze
3470 Rider Trail South
Earth City, MO 63045
Email: [email protected]

Please read and sign the following statement. Your signature acknowledges your agreement.

By submitting this form, I certify that I am the individual completing this form and state that all of the information contained is

2 true to the best of my knowledge.

*Signature: Date:

*Name:
3 First
*Mailing Address (residence):
Last Suffix

*City, State, Zip Code:

Phone Number: ( ) E-mail Address:

*Your Social Security Number:

Your request will be processed within 3 days of receipt and confirmation of placement and a PIN number will be sent to you
in the mail. You must provide us with your PIN in order to remove your freeze. Your PIN is for your personal use only and should
not be provided to potential verifiers or service providers.

Questions: Contact The Work Number Employee Service Center: 1-866-222-5880; TTY-hearing impaired: 1-800-424-0253
Mon–Fri; 9:00 a.m. – 8:00 p.m. ET

Copyright 2023, Equifax Inc., Atlanta, Georgia. All rights reserved. Equifax is a registered trademark of Equifax Inc. The Work Number is a registered trademark of
TALX Corporation, a wholly owned subsidiary of Equifax Inc. All rights reserved. Revised 11/2023

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