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Start My Case

Prime Partners Client Intake Form

Welcome to Prime Partners — a professional reinstatement and legal coordination firm.
Please complete this brief intake so we can review your case and connect you with the proper division.
All information is confidential.

Full Name

Email Address

Phone Number

Date of Birth

City & State

Have you ever worked with a firm or agency before for this type of service?

What do you need help with today?

Financial Reinstatement (Credit/Approval Services)

Legal Document Preparation (Expungement or Record Restriction)

Injury & Recovery Support (Personal Injury / Accident Case)

Fresh Bank Program (ChexSystems or Bank Denial)

Do you currently have any open collections, charge-offs, or legal judgments?

Case Details

Briefly describe your current situation:

Example: “I was denied for a home loan due to collections.”

Document Upload (optional)

Size limit: 10 MB

File Upload (credit reports, legal docs, ID, etc.)

Do you have any active loans, repossessions, or late payments within the last 12 months?

What major goal are you working toward?

Have you received any recent collection letters, lawsuits, or settlement offers?

How soon are you looking to move forward if approved?

Terms & Agreement

I have read and agree to the above terms.

Prime Partners is not a law firm and does not provide legal advice or representation.
All legal matters are handled through our licensed attorney partners.
By submitting this form, you consent to our review process and acknowledge that submission does not establish an attorney-client relationship.