(Send by certified mail)
Your full name 
Current mailing address 
Equifax credit report file # __________

Date

Equifax
P.O. Box 740256
Atlanta, GA 30374

Dear Sir or Madam:
Please add the following statement to my credit file in reference to [credit file account number and name of creditor]:

I was diagnosed with a serious illness on [date]. As I underwent treatment over the next few months, I was too ill to work. Without an income and with major medical bills to pay, I made late payments or missed payments altogether on several credit card accounts, including [names of specific accounts]. I have now recovered from my illness, returned to full-time employment and negotiated payment schedules with [names of creditors]. I consider the problem resolved and expect no future effect on my finances. 

I have also included the following information as confirmation of my identity.

	• Current mailing address: ________________________________
	• Phone number: ___________________________________________
	• Previous addresses from last five years: ________________
	• Social Security number: _________________________________
	• Date of birth: __________________________________________

Thank you for your prompt attention to this matter.

Sincerely,
[Signature]
Your name