CONSUMER CREDIT REPORT REQUEST FORM
All required fields with the ASTERISK (*) should be completed with CAPITAL LETTERS
PLEASE READ THE INFORMATION CAREFULLY BEFORE COMPLETING THIS FORM
CRR#____________________
PERSONAL INFORMATION
*Title [ ] Miss [ ] Mrs [ ] Mr Other (please state) _________________________________
*FIRST NAME * MIDDLE NAME *SURNAME
/ /
*TAX REGISTRATION NUMBER (TRN) *DATE OF BIRTH: dd mm yyyy
* PLACE OF BIRTH (Parish)
*CURRENT ADDRESS
*TOWN *PARISH
*TELEPHONE NUMBER (s) *EMAIL ADDRESS
Please Note: CRIF will not provide the information you supply to any non-affiliated third party.
REQUIRED DOCUMENTS TO PROCESS CREDIT REPORT APPLICATION
1. Completed CONSUMER CREDIT REPORT REQUEST FORM
2. TRN and a valid government issued ID (Driver’s License, Passport or Voter’s Registration Card) of the authorised
person pulling the company’s report.
In the event that you do not have a valid government issued ID we will accept a passport size picture certified
by an approved official (Justice of the Peace, Medical Practitioner, Attorney-at-Law, Superintendent of
Police or Bank Manager).
3. Proof of address (Recent utility bill or bank / credit card statement in your name; or address verification
form / letter signed by one of the approved officials listed above).
CRIF Information Bureau Jamaica
Suite 64 • Winchester Business Centre 15 • Hope Road • Kingston 10 • Jamaica
Tel. (876) 906-8680 / (876) 618-1515 •
[email protected] www.crif.com.jm
APPLICATION PROCESSING AND GUIDELINES
PLEASE TICK THE SUITABLE BOX
Online Processing Type of Credit Report
Online (2 Working Days) Free Credit Report (Without Score)
Free Credit Report (With Score: JMD $1,150
inclusive of GCT)
GUIDELINES AND FEE STRUCTURE FOR CREDIT REPORT APPLICATION PROCESSING
Every Jamaican over the age of 18 is entitled to receive a FREE copy of their credit report once each calendar year. However,
additional credit reports within the same calendar year will attract a cost of JMD $1000.00 (plus GCT and any applicable cost
such as a credit score).
“Online Processing” Banking Informaion
Account Name: CRIF Information Bureau Jamaica
Online application will be Account Number: 5501831613
emailed ONLY Bank Name: Sagicor Bank of Jamaica Ltd
Branch: New Kingston
Waiting Time: “2 Working Days” Account Type: Checking
You must provide proof of payment by submitting a payment
receipt or take a screenshot of the wire transfer.
Website: www.crif.com Email:
[email protected]All documents sent via email must be certified by an approved official (Justice of the Peace, Medical Practitioner,
Attorney-at-Law, Superintendent of Police, or Bank Manager). Or take a clear headshot (selfie) with your ID below
your chin and submit it along with the required documents.
I________________________________________, hereby grant CRIF Information Bureau Jamaica Limited the
authorization to release to me, a copy of my Credit Report. I am aware that I have the legal right to challenge incorrect,
incomplete or unreliable information should this arise.
*Customer’s Signature *Date
Approved Officials
Justice of the Peace
Medical Practitioner Stamp or seal of
Bank Manager Referee (where
Minister of Religion applicable)
Police Officer (Inspector and above)
Attorney-at-Law
CRIF Information Bureau Jamaica
Suite 64 • Winchester Business Centre 15 • Hope Road • Kingston 10 • Jamaica
Tel. (876) 906-8680 / (876) 618-1515 •
[email protected] www.crif.com.jm