IBJ

IBJ Credit Consultants

Credit Repair Services

Credit Repair Client Intake

Please complete the information below so our team can begin processing your credit repair file. Make sure all information and documents are accurate before submitting.

Your information is encrypted and your documents are stored securely.

Personal Information

Credit Monitoring

Documents

Authorization

Submit

Personal Information

Please provide your personal details exactly as they appear on your records.

First Name *

Middle Name

Last Name *

Date of Birth *

Email Address *

Phone Number *

Current Street Address *

Apartment / Unit

City *

State *

ZIP Code *

What are your credit goals? (Select all that apply)

Social Security Number *

Your SSN is required for identity verification with the credit bureaus. It is encrypted and stored securely — it is never displayed in full except to authorized team members.

IBJ Credit Consultants — Your information is protected and never shared without your authorization.