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Equifax Data Breach Intake Form
Check to see if you have been hacked and sign up
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Email Address
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Name
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Address:
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Cell Phone
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Other Contact Method
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Have you checked to see if you were impacted by the Equifax Data Breach?
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If so, was your information breached (hacked)?
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Maybe
I don't know
If you are not sure, you should check here:
https://trustedidpremier.com/eligibility/eligibility.html
Even if it says you were not impacted, we recommend that you sign up.
It says I may have been impacted
It says I was impacted
It says I was not impacted
Have you ever signed up for Equifax Premier? If so, let us know. If not, DO NOT ENROLL or sign up for this program, you may waive your rights to participate in this litigation!
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How did you find us? (Let us know the name of the person who referred you, if applicable)
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