consumer.risk.lexisnexis.com
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URL:
https://consumer.risk.lexisnexis.com/help
Submission: On January 26 via manual from US — Scanned from DE
Submission: On January 26 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST /helpSubmit
<form method="post" enctype="multipart/form-data" action="/helpSubmit" role="request" id="help-form">
<p>Use this form to submit a question or send us documents related to an existing case.</p>
<div class="form-row">
<div class="form-group col-md-3">
<label class="input required">
<span class="input-label">First Name</span>
<input id="FirstName" name="FirstName" class="input-field form-control" type="text" placeholder="First Name" maxlength="100" required="">
</label>
</div>
<div class="form-group col-md-3">
<label class="input required">
<span class="input-label">Last Name</span>
<input id="LastName" name="LastName" class="input-field form-control" type="text" placeholder="Last Name" maxlength="100" required="">
</label>
</div>
</div>
<div class="form-row">
<div class="form-group col-md-3">
<label class="input">
<span class="input-label">Phone</span>
<input id="PhoneNumber" name="PhoneNumber" class="input-field form-control Phone" type="text" placeholder="Phone">
</label>
</div>
<div class="form-group col-md-4">
<label class="input required">
<span class="input-label">Email</span>
<input id="Email" name="Email" class="input-field form-control" type="email" placeholder="Email" maxlength="100" required="">
</label>
</div>
</div>
<div class="form-row">
<div class="form-group col-md-3">
<label class="input select-placeholder required">
<span class="input-label">Reason for contact</span>
<select name="ReportType" id="ReportType" class="input-field form-control select-placeholder-input" required="">
<option value="" selected="selected">Reason for contact:</option>
<option value="Consumer Disclosure Report">Consumer Disclosure Report </option>
<option value="Dispute ">Dispute </option>
<option value="Security Freeze">Security Freeze</option>
<option value="Opt-Out">Opt-Out</option>
<option value="Sending Documents">Sending Documents</option>
<option value="Other">Other</option>
</select>
</label>
</div>
</div>
<div class="form-row">
<div class="form-group col-md-6">
<label class="input required">
<span class="input-label textarea-label">Details</span>
<textarea id="Question" name="Question" class="input-field textarea-field form-control" rows="3" placeholder="Details" maxlength="1000" required=""></textarea>
</label>
</div>
</div>
<div>
<p class="small"><i>Use ctrl-click to select multiple files</i></p>
<label for="files" class="custom-file-upload ajax-file-upload">Choose files...</label>
<input type="file" id="files" class="hidden" name="files[]" accept=".pdf, .txt, .doc, .docx, .png, .jpeg, .jpg" multiple="">
<div class="file-list">
<div class="ajax-file-upload-statusbar file-template hidden" style="width: 400px;"><!--TODO move width to CSS-->
<div class="ajax-file-upload-filename"></div>
<span class="ajax-file-upload-error hidden"></span>
</div>
</div>
<p class="small" style="padding-top:7px;">We accept up to 5 <i>Word, pdf, txt, png,</i> & <i>jpg</i> files under 5 MB.</p>
</div>
<div class="form-row">
<div class="form-group col-md-3">
<label class="input CaseNumberInput">
<span class="input-label">Case Number</span>
<input id="CaseNumber" name="CaseNumber" class="input-field form-control" type="text" placeholder="Case Number">
</label>
</div>
<div class="form-group col-md-4">
<p class="small" style="padding-top:4px;">Case Number is required if you are submitting documents. <br>
<a class="case_number cboxElement" href="/img/case_number.png" title="Case Number as it appears on letters from LexisNexis Risk Solutions">How do I find my case number?</a></p>
</div>
</div>
<br>
<div class="captcha-error error-message hidden"></div>
<div id="google-captcha-div" data-sitekey="6LeMVFUUAAAAAN8T7rAS0SVhg-L1oWz6ghDs3lTa">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-398u2bepotc8" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LeMVFUUAAAAAN8T7rAS0SVhg-L1oWz6ghDs3lTa&co=aHR0cHM6Ly9jb25zdW1lci5yaXNrLmxleGlzbmV4aXMuY29tOjQ0Mw..&hl=de&v=QUpyTKFkX5CIV6EF8TFSWEif&size=normal&cb=dfqc2elkpixj"></iframe>
</div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
<br>
<button type="submit" class="btn btn-lg btn-primary confirm-button">Submit Request</button>
<div id="tinyspin">
<div class="message"></div>
</div>
<div class="error-template request-error hidden"></div>
</form>Text Content
Submit a Request Online » * Homepage * LexisNexis® Consumer Disclosure * Your Privacy Rights * FACT Act * Security Freeze * Your FCRA Rights * Help CONTACT OUR CONSUMER CENTER TEAM Use this form to submit a question or send us documents related to an existing case. First Name Last Name Phone Email Reason for contact Reason for contact: Consumer Disclosure Report Dispute Security Freeze Opt-Out Sending Documents Other Details Use ctrl-click to select multiple files Choose files... We accept up to 5 Word, pdf, txt, png, & jpg files under 5 MB. Case Number Case Number is required if you are submitting documents. How do I find my case number? Submit Request THANK YOU FOR YOUR SUBMISSION. It has been received and is under review. Back to home page. -------------------------------------------------------------------------------- * Copyright © 2024 LexisNexis Risk Solutions. * About Us | * Terms & Conditions | * Privacy Policy | * Cookie Policy | * Site Map