Online Consumer Report or Dispute Portal

First Name Middle Name Last Name
Other Name Social Security Number
Date Of Birth
RadDatePicker
RadDatePicker
Open the calendar popup.
Daytime Number
Requester Name



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AUTHORIZATION: By providing the above information, you are certifying that you are the candidate whose information you are requesting or disputing, that the information is current and complete, and that you are aware that you can contact Protect Youth Sports' customer service if you have any questions about requesting a copy of your report. In instances of dispute, please upload any additional documents that may support your dispute.

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