TENANT SCREENING DISPUTE ORGANIZER
VoucherMatch | Reviewed October 1, 2026
Guide: https://vouchermatch.com/guides/tenant-screening-report-errors

Personal organizer, not an official dispute form or legal filing. Follow the
screening company's instructions. A report dispute does not preserve a separate
housing-agency hearing deadline or guarantee that an apartment stays available.

RENTAL DECISION
Property and application date:
Decision and notice date:
What the landlord said caused the decision:
Screening company name:
Company contact information from the notice:
Date I requested my report:
Report received date and reference:

FOR EACH DISPUTED ENTRY
Page, account or case reference:
What the report says:
What I believe is inaccurate or incomplete:
Correct fact and why:
Supporting document and date:
Correction requested:

SUBMISSION RECORD
Official dispute channel used:
Date submitted:
Copies of documents included:
Confirmation or delivery record:
Company reference number:
Response received date:
Investigation result:
Updated report received:
Unresolved issue:

LANDLORD FOLLOW-UP
Date landlord notified of dispute:
Reconsideration requested:
Updated report supplied when:
Landlord response:

SEPARATE MATTERS TO TRACK
Housing authority notice or review deadline, if any:
Court record that may need correction:
Legal-aid contact, if needed:
Next action and date:

Keep original records. Use copies for submissions and a verified channel for
personal information. Identify concrete errors rather than disputing accurate
information solely because it is unfavorable.