consumer credit and debt counseling
New Clients: (888)804-0624

To enroll in our program, please print out and sign the following four forms. You may fax these forms, along with the latest statement from all credit cards, to 1.866.860.6740. A certified credit counselor will contact you upon receipt.

  1. Waiver & Authorization
  2. Agreement to Allow CCDCS to Provide Debt Pooling
  3. Second Page of Agreement to Allow CCDCS to Provide Debt Pooling
  4. EFT Authorization Form
  5. Client Info & Responsibilities
Submit Enrollment Fee