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Credit Reference Request Template
Request reliable payment history and credit details from trade references using this Credit Reference Request Template.
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Credit Reference Request Template
[Your Company Name]
[Your Address]
[City, State, ZIP]
[Phone] | [Email]
Date: [Date]
To: [Reference Company Name]
[Reference Company Address]
[City, State, ZIP]
Attn: [Reference Contact Name/Department]
Subject: Credit Reference Request for [Customer/Applicant Name]
1. Request
We are evaluating a credit request from [Customer/Applicant Name] (the “Applicant”). The Applicant has listed your company as a trade reference. If permitted by your policies, please provide the credit information requested below.
2. Authorization (Attach if Needed)
The Applicant has authorized us to contact trade references for credit evaluation purposes.
☐ Authorization attached ☐ Authorization on file dated [Date] ☐ Please advise if you require a separate authorization form.
3. Reference Questions
Please provide information to the best of your knowledge:
3.1 How long have you done business with the Applicant? [Answer]
3.2 What are the Applicant’s current credit terms with you? ☐ COD ☐ Net 15 ☐ Net 30 ☐ Net 60 ☐ Other: []
3.3 Typical monthly purchase volume: ☐ <$1,000 ☐ $1,000–$5,000 ☐ $5,000–$25,000 ☐ $25,000+
3.4 Average outstanding balance: $[] (or range: [])
3.5 Payment performance: ☐ Always on time ☐ Usually on time ☐ Occasionally late ☐ Frequently late
3.6 Any NSF/returned payments? ☐ No ☐ Yes (details): []
3.7 Current status: ☐ Good standing ☐ Past due ☐ On hold ☐ Other: []
3.8 Your recommended credit limit (if any): $[]
3.9 Would you extend credit to the Applicant again? ☐ Yes ☐ No ☐ Not sure
4. Return Instructions
Please return this completed request by [Due Date] via:
☐ Email: [Email] ☐ Fax: [Fax] ☐ Mail: [Address] ☐ Other: [Method]
5. Confidentiality
Information provided will be used solely for credit evaluation and account management, subject to applicable law and our internal policies.
Signatures
Requested by: [Name]
Title/Role: [Title]
Company: [Your Company Name]
Date: [Date]
Signature: ___________________________
Completed by (Reference): [Name]
Title/Role: [Title]
Company: [Reference Company Name]
Date: [Date]
Signature: ___________________________
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Credit Reference Request Template
CREDIT REFERENCE REQUEST TEMPLATE FAQ
What is a credit reference request?
A Credit Reference Request is a letter or form used to ask another business (a “reference”) for information about a customer’s payment history and creditworthiness. Suppliers often use it when evaluating a new credit application or reviewing an existing account.
What information is usually requested?
Common requests include: how long the customer has been a client, typical credit terms, average outstanding balance, payment timeliness, credit limit, any past-due issues, and whether the reference would extend credit again.
Do you need customer authorization to request a reference?
Often yes, especially if you are requesting non-public information. Many credit applications include an authorization clause. This template includes a place to reference the customer’s signed authorization or attach it.
How should you send a credit reference request?
Many businesses send it by email, fax, or letter. Include clear contact information and a simple checkbox format so the reference can respond quickly.
What if the reference refuses to provide information?
That’s common. Some companies only confirm basic facts (like whether the customer is in good standing). You can still use the response as part of your overall credit decision.
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