Credit Repair Form | Top Class Credit

Personal information

First name

Last name

Phone

Date of birth

Social Security number

Format 000-00-0000 · encrypted before it's stored

Street address

City

State

ZIP code

How long at this address?

Credit monitoring

We read your reports from all three bureaus through your credit monitoring membership. Choose the one you use, or want to use.

Which credit monitoring service will you use?

My Free Score NowYou'll share your My Free Score Now login on this form.SmartCredit®A separate credit monitoring membership from ConsumerDirect®. You'll enroll right after this form.

Documents

PDF or a photo (JPG, PNG, WEBP, or HEIC straight from your iPhone), up to 25 MB each. Photo location data is removed automatically.

Front of driver's license or state ID

Tap to uploador drag a file here

Proof of address

e.g. light bill, bank statement, utility bill

Tap to uploador drag a file here

Social Security card

Tap to uploador drag a file here

Goals & notes

What's your main goal?

When do you need it by?

What's on your report? (check all that apply)

Anything we should know (optional)

I authorize Top Class Credit and its team to use my My Free Score Now login to view my credit reports and to use this information to provide credit repair services. I confirm the information above is mine and accurate.

Your information is encrypted and only our team can see it.