How to Submit a Request to Block Adverse Items Resulting from

Human Trafficking

If you are the subject of a consumer report prepared by Occuscreen, LLC and have been a victim of Human Trafficking, you have the right to request a block of adverse information (per the Fair Credit Reporting Act). To request a block of adverse items resulting from Human Trafficking you can either:

  1. Call Occuscreen, LLC at 888-833-5304 and ask for the Operations Manager or VP of Operations.
  2. Fill out and submit the form below:

    We will send you a secure link via email. If you prefer, you may mail us a request to our address listed below. We will need for you to provide:

    1. “Appropriate proof of identity” as part of your submission to us to request a block of adverse items of information that resulted from trafficking. Please provide as much information as possible.
      • First, Middle, Last Name
      • Any other or previously used names
      • Current and/or recent full address (street number and name, apt. no., city, state, and zip code)
      • SSN
      • DOB
      • Additional proof of identity if needed. Copies of government-issued identification documents, utility bills, and/or other methods of authentication of a person’s identity
    2. Trafficking Documentation. This is:
      1. Victim Determination Information. This is generally defined as documentation of a determination that a consumer is a victim of trafficking, made by either:
        • a Federal, State, or Tribal governmental entity,
        • a court of competent jurisdiction, which includes certain documents filed in court;
        • a non-governmental organization or human trafficking task force, including victim service providers affiliated with these entities, authorized by a Federal, State, or Tribal government entity; or
        • a self-attestation by a consumer who identifies as a victim of trafficking that is signed or certified by a Federal, State, or Tribal government entity, court of competent jurisdiction, or an authorized representative of these entities.
      2. Identified adverse items of information. This is generally documents that identify items of adverse information that should not be furnished by us because the items resulted from a severe form of trafficking in persons or sex trafficking. An “adverse item of information” could include records containing derogatory information, such as payment delinquencies or defaults, records of coerced debt, records of criminal arrests and convictions, and records of evictions or non-payment of rent.
        • a Federal, State, or Tribal governmental entity,
        • a court of competent jurisdiction, which includes certain documents filed in court;
        • a non-governmental organization or human trafficking task force, including victim service providers affiliated with these entities, authorized by a Federal, State, or Tribal government entity; or
        • a self-attestation by a consumer who identifies as a victim of trafficking that is signed or certified by a Federal, State, or Tribal government entity, court of competent jurisdiction, or an authorized representative of these entities.
      3. A preferred means of written communication to you. This can be a mailing address or email address.
        • a Federal, State, or Tribal governmental entity,
        • a court of competent jurisdiction, which includes certain documents filed in court;
        • a non-governmental organization or human trafficking task force, including victim service providers affiliated with these entities, authorized by a Federal, State, or Tribal government entity; or
        • a self-attestation by a consumer who identifies as a victim of trafficking that is signed or certified by a Federal, State, or Tribal government entity, court of competent jurisdiction, or an authorized representative of these entities.

    Please provide the above information by email or by mail:

    Human Trafficking Compliance
    1111 Main St
    Suite 510
    Vancouver, WA 98660
    If you have questions regarding what to provide, please call us at 888-833-5304

    An overview of the Human Trafficking Regulation can be found here: https://files.consumerfinance.gov/f/documents/cfpb_fcra-trafficking_fast-facts.pdf