Credit Repair Intake Form | Staffing And Multi S

Full Name

Email Address

Phone Number

Date Of Birth

Month

Day

Year

Social Security Number

Current Address

Must match address on your credit report

I authorize Staffing And Multi Services LLC to obtain, review, and dispute information on my credit reports with Experian, Equifax, and TransUnion on my behalf. I certify that the information I provided is accurate and I understand that results are not guaranteed.

Upload Required Documents

Required: • Photo ID • Proof of address Optional: • SSN document • Credit reports • Collection letters JPG, PNG, PDF accepted