On Line Application

Contact us with your information

Upon receiving your information one of our credit counselors will contact you the following business day. Should you require immediate assistance please call 1.800.500.0003

• Online Form
• Telephone
• Snail Mail

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Email:

For information or assistance: intake@debthelpcanada.com

We will respond to you within 24 hours, during regular business hours. All email correspondence is completely confidential. You may also use our toll free telephone support center to contact a representative during regular business hours:

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Online Form:

Please send any specific information about your request so we can direct it to the appropriate people:

Community Credit Counselling Services Contact Information Form   *Please Ensure you fill out all items*.
* First Name:
* Last Name:
* Day Phone:	Include Area Code
Night Phone :
* Email:
* Province:

* What is the total amount of your unsecured debts?	---Select an Amount---$2,000 - $5,000$5,000 - $10,000$10,000 - $20,000$20,000 - $40,000$40,000 - $60,000$60,000 - $80,000$80,000 - $100,000Over $100,000
What is your current credit rating?	--- Select One ---ExcellentFairGoodPoor
* What is the best time to reach you?	--- Select a Time ---Before 9:00 am9:00 am - 12:00 noon12:00 noon - 3:00 pm3:00 PM - 6:00 PM6:00 PM - 8:00 PMAfter 8:00 PMAnytime

Do you own or rent your home?	Own Rent
Is your mortgage current or past due?	Current Past Due N/A
If past due, for how long?	1 month 2 months 3+ Months N/A

 

* Briefly describe your reasons for applying to our Debt Management Program.

Click below in any box that applies to your debt:

Credit cards
Personal Loans
Past due utility bills
Other

 

Any past due accounts?	Yes No
If Yes, how many months past due?	---Select an Option---1 - 3 Months4 - 6 MonthsOver 6 Months

Please only click the submit button once.

 

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Telephone:

Phone: 905-707-7695
Monday to Friday   9:00am to 5:30pm (EST) Saturdays, Sundays and holidays please leave a message.  A customer representative will contact you within 24 hours of the first business day.

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FAX:

Fax: 905-707-7895

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Snail Mail:

Send your inquiries to:

• Community Credit Counselling Services of York Region
• Thornhill Square, 300 John Street, Suite 300, Thornhill, Ontario, L3T 5W4