FDCPA DEBT VALIDATION REQUEST LETTER
Pursuant to 15 U.S.C. § 1692g
SENDER INFORMATION
Name: ☐ _______________________________________________
Address: ☐ _______________________________________________
City, State, ZIP: ☐ _______________________________________________
Phone: ☐ _______________________________________________
Email: ☐ _______________________________________________
Date: ☐ _______________________________________________
DEBT COLLECTOR INFORMATION
Collection Agency Name: ☐ _______________________________________________
Address: ☐ _______________________________________________
City, State, ZIP: ☐ _______________________________________________
Account/Reference Number: ☐ _______________________________________________
FORMAL DEBT VALIDATION REQUEST
Dear Sir or Madam:
I am writing in response to your communication dated ☐ _______________ [insert date] regarding an alleged debt in the amount of $☐ _______________.
Pursuant to my rights under the Fair Debt Collection Practices Act, 15 U.S.C. § 1692g, I am formally disputing this alleged debt and requesting validation. This letter is being sent within thirty (30) days of my receipt of your initial communication.
VALIDATION REQUIREMENTS
Under 15 U.S.C. § 1692g(b), upon receipt of this written dispute, you must cease all collection activity on this alleged debt until you provide the following verification:
1. DEBT VERIFICATION
☐ The exact amount of the debt, itemized to show:
- ☐ Principal balance
- ☐ Interest charges (with applicable rate)
- ☐ Fees and charges (itemized)
- ☐ Payments and credits applied
☐ Documentation proving this debt is mine, including:
- ☐ Original signed contract or credit application
- ☐ Account statements from the original creditor
- ☐ Payment history
2. CREDITOR INFORMATION
☐ Name and address of the original creditor
☐ If the debt has been sold or assigned:
- ☐ Complete chain of title/assignment documentation
- ☐ Bill of sale or assignment agreement
- ☐ Date of each transfer
3. COLLECTION AUTHORITY
☐ Documentation of your legal authority to collect this debt in my state
☐ Your state collection license number (if applicable): _______________
4. STATUTE OF LIMITATIONS
☐ The date of last activity on the account
☐ The date the debt allegedly became delinquent
☐ Confirmation that this debt is not time-barred under the applicable statute of limitations
LEGAL NOTICES
CEASE COLLECTION PENDING VALIDATION
Under 15 U.S.C. § 1692g(b), you are required to:
"cease collection of the debt, or any disputed portion thereof, until the debt collector obtains verification of the debt... and a copy of such verification... is mailed to the consumer by the debt collector."
CREDIT REPORTING OBLIGATIONS
If you are reporting this debt to any consumer reporting agency:
- ☐ You must report this debt as "disputed" per 15 U.S.C. § 1692e(8)
- ☐ Failure to do so constitutes a violation of the FDCPA
- ☐ You must provide me with the name and address of each credit reporting agency to which you have reported this debt
WARNING REGARDING CONTINUED COLLECTION
Any attempt to collect this debt before proper validation is provided may constitute violations of:
- ☐ 15 U.S.C. § 1692g (Validation of debts)
- ☐ 15 U.S.C. § 1692e (False or misleading representations)
- ☐ 15 U.S.C. § 1692f (Unfair practices)
ADDITIONAL REQUESTS
INFORMATION ABOUT THE DEBT (Per 2021 CFPB Amendments)
☐ Provide the "tear-off" dispute form if not previously provided
☐ Confirm the merchant name or creditor for this debt
☐ Provide the account number used by the original creditor
CEASE TELEPHONE CONTACT (OPTIONAL)
☐ I request that you cease all telephone communications and contact me only in writing at the address above
RESPONSE DEADLINE
I expect a written response within thirty (30) days of your receipt of this letter. If I do not receive proper validation within this timeframe, I demand that you:
- ☐ Permanently cease all collection activities
- ☐ Remove any credit reporting related to this alleged debt
- ☐ Confirm in writing that the account is closed
PRESERVATION OF RIGHTS
This letter does not constitute an acknowledgment that I owe this debt. I expressly reserve all rights, claims, and defenses, including but not limited to:
- ☐ Statute of limitations defense
- ☐ Identity theft defense
- ☐ Bankruptcy discharge defense
- ☐ Payment in full defense
- ☐ Wrong person defense
DELIVERY INSTRUCTIONS
This letter is being sent via:
☐ Certified Mail, Return Receipt Requested
- Tracking Number: _______________
☐ USPS First Class Mail with Certificate of Mailing
☐ Electronic delivery (if previously consented)
IMPORTANT: Retain a copy of this letter and all delivery receipts for your records.
Sincerely,
_________________________________________________
[Signature]
_________________________________________________
[Printed Name]
_________________________________________________
[Date]
CHECKLIST FOR SENDER
Before Sending:
☐ This letter is sent within 30 days of receiving the debt collector's initial communication
☐ I have made a copy of this letter for my records
☐ I am sending this via certified mail, return receipt requested
☐ I have documented the date I received the collector's initial communication
After Sending:
☐ Save the certified mail receipt
☐ Save the return receipt (green card) when received
☐ Document any further contact from the collector
☐ Note if collection continues before validation is received
Important Deadlines:
☐ Date initial communication received: _______________
☐ 30-day deadline to dispute: _______________
☐ Date this letter sent: _______________
☐ Expected response deadline: _______________
LEGAL REFERENCES
15 U.S.C. § 1692g - Validation of Debts
- Subsection (a): Required contents of initial communication
- Subsection (b): Disputed debts; verification required
15 U.S.C. § 1692e(8) - Prohibition on reporting disputed debt without noting dispute
Key Case Law:
- Chaudhry v. Gallerizzo, 174 F.3d 394 (4th Cir. 1999) - Verification must confirm debt's existence and consumer's liability
- Haddad v. Alexander, Zelmanski, Danner & Fioritto, PLLC, 758 F.3d 777 (6th Cir. 2014) - Mere restatement of amount insufficient
CFPB Debt Collection Rule (2021) - Regulation F, 12 C.F.R. § 1006
This template is provided for informational purposes and does not constitute legal advice. Consult with a qualified attorney for advice specific to your situation.
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