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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 *
Name *
Address: *
Cell Phone *
Other Contact Method
Have you checked to see if you were impacted by the Equifax Data Breach? *
If so, was your information breached (hacked)? *
If you are not sure, you should check here: Even if it says you were not impacted, we recommend that you sign up.
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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! *
How did you find us? (Let us know the name of the person who referred you, if applicable)
By placing your name below, you will agree to have Yearout & Traylor represent you based on the attached contract: *
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