Skip to main content

FCRA Adverse Action Notice

Federal Free to create
Create new disclosure
At a round table, a landlord explains a blank adverse action notice to an applicant, a folder and a note card beside it
  1. Explain the decision in writing
  2. Name the screening company
  3. List the applicant's rights
Preview mode. This is the blank form. Click Create new to fill it in and download free.
Blank template ...

About the FCRA Adverse Action Notice

The FCRA Adverse Action Notice is a disclosure for use nationwide under federal rules. Required by 15 U.S.C. 1681m when denying an applicant or changing terms based on a consumer report. Captures CRA contact and specific reasons. Preview and fill the document online for free. Sign in to download a watermarked copy, or review Prime plans for clean PDFs and signing.

What this disclosure covers

This form contains 9 sections. Here is the full outline of what it addresses:

  1. TO
  2. FROM
  3. DATE
  4. RE: ADVERSE ACTION ON YOUR RENTAL APPLICATION FOR {property_address}
  5. ACTION TAKEN
  6. REASONS
  7. YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT
  8. CONSUMER REPORTING AGENCY
  9. EQUAL OPPORTUNITY

Frequently asked questions

Is the FCRA Adverse Action Notice free to preview?

Yes. You can preview and fill out the form for free. A free account lets you download a watermarked copy. Prime adds PDFs without a watermark and electronic signing. Check the plan details before choosing.

Which states does the FCRA Adverse Action Notice apply to?

This disclosure is prepared for all U.S. (federal). Required by 15 U.S.C. 1681m when denying an applicant or changing terms based on a consumer report. Captures CRA contact and specific reasons.

Can I fill it out and e-sign it online?

Fill out the form in your browser, then check the document and who needs to sign. Paid plans let you send it for signature and keep a signing record. Confirm the applicable delivery, consent and signature requirements before sending.

What Prime adds

Prepare and review your document.

  • PDF without a watermark. You can select and copy the text.
  • Auto-fills from your portfolio. Tenant, address, amounts pulled straight from your unit ledger.
  • E-signed with audit trail. Tenants sign in the browser. Every signature, IP, and timestamp is logged.
  • Access to the full library. The plan includes forms for every state, with no per-form fee.
Prime plans
Choose the plan for your rental workflow.
Review current pricing, unit limits and included signing features.
See Prime pricing Or fill this one free

Use this form inside Rentari

Keep the form with the lease, tenant and rent records it belongs to.