If your request to modify your personal record requires authorization, simply fill out the form below to create an authorization letter. Please retain your fax transmission receipt including the date, time and number from which the fax is sent. This important information will help us locate the fax quickly should you need to contact us.
Additional instructions are available here .
Use this form if and only if your modification request cannot be processed through our normal, automated channels. Inc. All rights reserved. Please read our Disclaimer .