Intake Form

Thank you so much for contacting our law office! Please read the privacy policy below, and then fill out this form in its entirety prior to our consultation.

Privacy Policy

All information received from a client is strictly confidential. Our firm takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 128-bit SSL encryption.

First Name

Last Name

Phone *

Email *

What kind of credit reporting issue are you having?

Identity Theft
Mixed File
Post Bankruptcy Credit Reporting
Inaccurate Balance (I paid or settled but it's still reporting a balance)
It says I'm deceased
Re-aged Account (the account is older than it shows)
Double Reporting
Debt Defense Victory (I got sued and beat them but they're still reporting a balance)
Ownership Disputes (The account is not mine)
Mortgage Related Reporting
Reinsertions (this account was previously deleted but they added it back)
No elements found. Consider changing the search query.
List is empty.

Have you sent any disputes to any of the credit reporting agencies?

Yes
No
No elements found. Consider changing the search query.
List is empty.

Do you have evidence related to the inaccuracy? i.e. paid bills/invoice, documents, other proof

Yes

Please attach the credit reports, any dispute letters with any supporting documentation, and dispute results.

How did you find us?

ACKNOWLEDGEMENT AND ACCEPTANCE

I acknowledge that I have read and hereby accept the privacy policy regarding use of my personal information.

THANK YOU

Thank you so much for completing this intake questionnaire. This information will be extremely helpful in evaluating your case. We will contact you as soon as possible with any updates.

Please click the SUBMIT button below when you have finished answering all questions.