Credit Counseling

For the appointment, we ask that a Budget Information Form, Privacy Notice, and the Statement of Counseling Services form be reviewed and completed. The Statement of Counseling Services and Budget Information Form can be viewed and printed by clicking on the links below.

For your convenience, an on-line budget information form is also available. The on-line form allows you to enter your information online and forward the completed form to our office. Our office will then contact you to set up an appointment time. Please print a copy of the completed form for your records.

Budget Information Form

Pages 1 and 2—PDF document

Pages 3 and 4—PDF document

Privacy Notice—PDF document

Statement of Counseling Services—PDF document

Client Bill of Rights—PDF document

If you are mailing your information to our office, please include the completed Budget Information Form, Statement of Counseling Services, and $25 counseling fee and send to:

Please keep a copy of all forms for your records.

You are also welcome to fax your information to our office -

Salina’s fax # 785-827-8280

Wichita’s fax # 316-265-8507

In order for the counseling session to be productive, our agency expects:

· Clients to be seriously interested in solving their financial problems.

· If married, both spouses need to be involved.

· A complete budget information form for confidential credit counseling should be completed.

· All forms, creditor statements, pay stubs, notifications, and other support documents should be available for the appointment.

· Clients should be on time for their appointment and should notify our office if an appointment needs to be rescheduled or canceled.

· Clients, who are enrolled in a DMP, must be dedicated to following the plan which they have developed with their counselor. In addition, credit card accounts will be closed and no new credit can be opened.

Credit Counseling Services

CCCS provides confidential, one-on-one, comprehensive money management counseling. Counseling is provided either in person or by telephone. Forms and information are also available on-line. CCCS charges a counseling fee of $25.