Phone *

Last Name

First Name

Email *

Last 4 SSN *

Please upload a clear copy of your driver’s license, ID, or passport, along with a recent utility bill or bank statement for verification. *

If you don’t already have a credit monitoring service, it’s required to ensure you can check your most accurate credit score and track your progress. Use this link to get started: IdentityIQ Credit Monitoring.

Do you have a credit monitoring site? (Not Credit Karma) if so, what’s the login? *

By signing below, I confirm that all information provided in this intake form is accurate and complete to the best of my knowledge. I understand that the credit repair process requires my participation, including providing necessary documents and accessing my credit reports through a credit monitoring service.

I authorize Elevate Financial and Co to review my credit profile and take the necessary steps to assist in the improvement of my credit. I acknowledge that results may vary and that no specific outcome is guaranteed.

I also consent to receive communication via email, phone, or text regarding my credit repair process.

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