A demand for a consumer who is dissatisfied with the results of a credit bureau's investigation as to a complaint made by the consumer, for the inclusion of this statement in the report.
Pursuant to the Fair Credit Collection Act and other applicable laws and regulations, I have previously requested that you investigate the following. Despite the results of your investigation, I am not satisfied and request that you add the following statement (or if required by law a summary) to my report:
DISPUTE ERRONEOUS ENTRY
I, [NAME] CONSUMER DID NOT FAIL TO PAY HEALTH CLUB MEMBERSHIP; THE ACTUAL DEFAULTING HEALTH CLUB MEMBER WAS [NAME] CUSTOMER, SSN _______________.
LENGTH OF TIME AT PRESENT ADDRESS:
DATE OF BIRTH:
SOCIAL SECURITY NUMBER: