AFSG Client Intake Form

Need Help Disputing Items On Your Credit Reports That Shouldn't Be There? Our Credit Attorneys Can Assist You.

Please answer each question. We will assess your information to determine whether you have a case against the credit bureaus, creditors, and/or collection agencies. Reviewing your information is free of charge. If you have a case, meaning your consumer rights have been violated, one of our credit attorneys will contact you to move forward. Attorney fees are paid once your case is settled.
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
What specific items on your credit report are you seeking to dispute?*
Have you attempted to resolve these disputes with the credit reporting agencies or creditors directly before seeking legal assistance?

YesNo
Do you have documentation supporting your claims of inaccuracies or errors on your credit report?

YesNo
Have you reviewed your credit report for any potential identity theft or fraudulent activity?

YesNo
Are there any time-sensitive matters related to your credit report disputes, such as pending loan applications or major financial transactions?

YesNo
Have you experienced any negative consequences as a result of the inaccuracies on your credit report, such as denial of credit, higher interest rates, or difficulty obtaining housing or employment?

YesNo
Have you previously engaged the services of a credit attorney or credit repair agency for similar matters? If yes, please provide the outcome. If no, type N/A below.*
Are you prepared to provide any additional information or documentation that may be required by the credit attorney to pursue your case?

YesNo
After you have submitted the form, please allow 24-48 hours for a response. We will contact you via email. Thanks!
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Need Help Disputing Items On Your Credit Reports That Shouldn't Be There? Our Credit Attorneys Can Assist You.