Credit Repair Onboarding Form

ONBOARDING FORM

All the information is necessary to assess what's impacting your score so that we can

identify opportunities for improvement and outline the next steps!

What Credit Monitoring Service Are You Using?

Credit Monitoring Login Email

Credit Monitoring Login Password

First Name

Last Name

Address

Street Address

City

State

Country

Postal Code

Email *

Phone *

Client SSN

Date of birth

Picture of ID/DL (Front)

Identification or Drivers License

Picture of SSC

Social Security Card

Picture of Address (Utility bill, mail, etc)

Address Verification

Proof of Payment

Screenshot of Payment

By submitting this form, you are requesting and consenting to Hackward Consulting providing you with credit repair services. To do this, we must collect, use, and share your personal and financial information as described below.

Location: 319 Parkway Lane, Pekin IL 61554

Call (309) 620-2107

Email: [email protected]

Site: https://www.hackwardconsulting.com

Copyright Hackward Consulting 2026. All rights reserved