Free adverse action notice 12
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SAMPLE ADVERSE ACTION LETTER


Dear :
We regret to inform you that Employer, , , OR has decided not to
offer you a promotion>.
This decision was based in whole or in part on information contained in a report from Third
Vision Background Searches & Consulting, a copy of which was previously given to you. The
agency did not make this employment decision and is unable to supply you with specific
reasons why the decision was made. Under Section 612 of the Fair Credit Reporting Act, you
have the right to obtain a free copy of the report if you submit a written request to the
agency identified above no later than 60 days after you receive this notice. Under Section
611 of that Act, you also have the right to dispute with the consumer reporting agency the
accuracy or completeness of any information in the report.
Massachusetts applican