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EMS Monthly Report Data v.2023 (FCAA/IND/DUAL)
Use this form to report your agency's total EMS activity each month. Please report zeros for fields when applicable (do not leave blank) and submit your answers only once.
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Email
*
Your email
Agency Name
*
Choose
Cambridge
CCBC d/b/a NFDM
CESI
Christian Credit Counselors
Consolidated Credit
Consumer Credit Counseling Foundation
Consumer Credit of Des Moines
Consumer Credit of MN
Credit Advisors
Credit Advisors Foundation
Credit Card Management Services
CreditGuard
Debt Counseling Corp
Debt Reduction Services
DebtWave Credit Counseling
DMCC
Family Budget Services
Family Credit
Family Financial Education Foundation
Pioneer Credit Counseling
Safeguard Credit Counseling
TakeCharge America
Trinity Credit
Month
*
Select the month your are reporting from the drop-down.
Choose
2023-01
2023-02
2023-03
2023-04
2023-05
2023-06
2023-07
2023-08
2023-09
2023-10
2023-11
2023-12
# of Clients Offered
*
Total number of clients that had EMS explained via phone/email/chat/etc. during the month you are reporting.
Your answer
# of Clients Committed
*
Total number of clients that agreed to EMS and signed or verbally committed to the EMS client disclosures during the month you are reporting, regardless of when they were originally offered.
Your answer
# of Clients Enrolled
*
Total number of clients that had their first EMS payment cleared for disbursement during the month you are reporting, regardless of when they were originally offered or committed to the program.
Your answer
Dollar Amount of Disbursements
*
Total dollar amount of payments sent to creditors for EMS clients during the month you are reporting, including disbursements for EMS clients that have reinstated their full DMP payments.
Your answer
# of Clients Reinstated or Completed
*
Total number of EMS clients that reinstated their full DMP payments or paid off their accounts during the month you are reporting.
Your answer
# of Clients Cancelled
*
Total number of EMS clients that stopped making payments to your agency and closed their accounts during the month you are reporting.
Your answer
Total Debt of Active Clients Currently Managed
*
The total debt currently under management for all active clients that used EMS even if they have moved back to regular DMP (All creditors not just EMS creditors).
Your answer
A copy of your responses will be emailed to the address you provided.
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