Credit Repair Consultation Form

Fill out so we can give your FREE consultation and begin working on your credit repair.

PERSONAL INFORMATION

First Name

Last Name

Address

Street Address

City

State

Country

Postal Code

Phone *

Email *

Date of Birth *

Social Security # *

CREDIT INFORMATION

REQUIRED DOCUMENTS

To proceed with credit repair, Our legal team will need 3 documents to verify you to the 3 credit agencies. 1.Photo ID 2.Social Security Card 3.Utility Bill (ALL MUST BE COLOR AND CLEAR) Please upload below.

Equifax.com Credentials (username + password) *

Experian.com Credentials (username + password) *

Transunion.com Credentials (username + password) *

Credit Hero, Identity IQ login or your FREE credit Karma login (userename + password) *

Have you ever had credit repair done before? *

Yes

No

Why do you need credit repair? *

REQUIRED DOCUMENTS

To proceed with credit repair, Our legal team will need 3 documents to verify you to the 3 credit agencies. 1.Photo ID 2.Social Security Card 3.Utility Bill (ALL MUST BE COLOR AND CLEAR) Please upload below.

ID, DRIVERS LICENSE, or PASSPORT *

SOCIAL SECURITY CARD *

UTILITY BILL (Electric bill, water bill, phone bill, or Insurance) proof of address *