Skip to content
Debt Management
General Info
Debt Management
Learn About DMP
What is a DMP?
How DMP Works
What to Expect
First time visitors
Testimonials
Debt Calculator
Licensed States
Educational Materials
FAQ
account info
Existing Clients
Existing Client Log-In
Call Us:
1-866-210-3589
Bankruptcy
General Info
Bankruptcy
For Bankruptcy Attorneys
First time visitors
First Time Visitors
Bankruptcy Forms
FAQ
Testimonials
Pre/Post bankruptcy
Pre Bankruptcy Instructions
Post Bankruptcy Instructions
Immediate Online Registration
Returning Client Login
Call Us:
1-866-210-3590
Counseling
Financial
Financial Counseling
How Financial
Counseling Works
What is Needed to Begin
What to Expect
Housing
Housing Counseling
First Time Visitors
FAQ
Housing Educational Materials
National Mortgage Settlement
Dreambuilders Workshop
Bridge to Possibilities
Reverse Mortgage Counseling
Student Loan
Student Loan Counseling
How Student Loan Counseling Works
What is Needed to Begin
What to Expect
Call Us:
1-800-888-1596
About Us
History
Meet Our Team
Employment
Newsletters
Contact
MENU
Debt Management
General Info
Debt Management
Learn About DMP
What is a DMP?
How DMP Works
What to Expect
First time visitors
Testimonials
Debt Calculator
Licensed States
Educational Materials
FAQ
Account Info
Existing Clients
Financial counseling
housing counseling
student loan counseling
Bankruptcy
General Info
Bankruptcy
For Bankruptcy Attorneys
First time visitors
First Time Visitors
Bankruptcy Forms
FAQ
Testimonials
Pre/Post bankruptcy
Pre Bankruptcy Instructions
Post Bankruptcy Instructions
Immediate Online Registration
Returning Client Login
About Us
Newsletters
Contact Us
Housing Counseling Authorization Form
Housing Counseling Menu
General Info
Housing Counseling
First Time Visitors
FAQ
Housing Educational Materials
National Mortgage Settlement
Dreambuilders Workshop
Bridge to Possibilities
Reverse Mortgage Counseling
General Info
Housing Counseling
First Time Visitors
FAQ
Housing Educational Materials
National Mortgage Settlement
Dreambuilders Workshop
Bridge to Possibilities
Reverse Mortgage Counseling
We are glad that you have an interest in our housing counseling! We offer a variety of housing workshops and housing counseling! Please fill out the form below to authorize us to help you with your housing issues.
Housing Counseling Authorization Form
"
*
" indicates required fields
Date
MM slash DD slash YYYY
Loan Servicer:
*
Account #:
*
Borrower Name:
*
First
Last
Co-Borrower Name:
First
Last
Property Address:
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
I/we,
First (Borrower)
Last (Borrower)
do hereby authorize Servicer to release any and all information about any and all of my account(s) to any representative of Pioneer Credit Counseling I understand that the information released by the Servicer may include, but is not limited to, information relating to my loan amount and payment transactions and/or provision of copies of any and all loan documents and communication history associated with my account (s) in the possession of Servicer. Under no circumstances will I hold Servicer's provision of information pursuant to the terms of this agreement. Borrower further authorizes Servicer to speak with any representative with Pioneer Credit Counseling regarding all aspects of my account (s) and account history, including information provided by any prior servicer. Borrower also authorizes Servicer to notify Pioneer Credit Counseling in the event that my/our loan payments become delinquent in the future, or if a loss mitigation workout is discussed, implemented, completed and /or results in default. Pioneer Credit Counseling agrees to maintain the confidentiality of borrower (s) information. I acknowledge that this authorization will remain in effect for the duration of time that Servicer serves as the loan servicer for my account (s). I also acknowledge that should I wish to terminate this authorization, I will notify Servicer in writing. This authorization will not be valid unless signed below by borrower and all co-borrowers named above.
Primary Borrower:
First
Last
Last 4 Digits of SSN:
Signature:
Date
MM slash DD slash YYYY
Co-Borrower:
First
Last
Last 4 Digits of SSN:
Signature:
Date
MM slash DD slash YYYY
1+1=
*
This is used to make sure you are a real person and not a bot.
Home
Counseling
Housing Counseling Authorization Form
English
English
Spanish