Release Of Information Form

Credit Navigator

Release Of Information

Credit Help Services by Credit Clean
Release Of Information
In order to speak with others we need this form ... thank you
We cannot speak about you to anyone without this form!

RELEASE OF INFORMATION FORM

Your Full Name
Credit Clean Account #
Email
Phone
	Who Are We To Release Information To?
Release To FULL NAME
Phone
Company Name
Type of Company
What Information
Designated Information To Release	Please Be Specific If You Are Designating Partial Release Of Information:

TERMS AND CONDITIONS OF THE RELEASE FORM

By Hitting The RELEASE button below you are allowing Credit Clean or it's employees to speak with the above named individual on your behalf. Unless specific information has been designated, all information needed by the named will be released. This release is specifically for problems associated with your credit reports and/or creditors, collection agencies etc. By submitting this release form you agree to hold harmless Credit Clean and it's employees. This is a one time release of information form. If more than one contact is needed by this individual you will need to submit another release. If there is more than one person to release information to you will need to submit a release form for each individual.

I agree to the RELEASE FORM terms and conditions

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Page Last Updated
Monday July 02, 2007

Credit Clean
532 Bridle Path Way
Tarpon Springs, FL 34688-7210
Phone: 727-939-0311 Mon - Fri 10 - 7 EST