Pre File Form

Before providing counseling, we disclose and receive your agreement to the following:

Granite Lake Educational Resources is a nonprofit agency. Its employees and volunteers will counsel and advise you on money management and budgeting pertaining to your financial situation and provide you with a confidential written assessment outlining a suggested action plan. Client privacy is important to us and the counseling services we provide are confidential. However, as part of the counseling process, it may be necessary for us to contact specific creditors, with your permission, to secure information that will assist us in providing you with accurate guidance. You understand that authorized agencies with legitimate authority to monitor the agency’s practices may review your file for quality assurance, compliance or research purposes. If such a review should occur, findings will be kept confidential. Our privacy notice is available on our website www.backtogo.org

If requesting a pre-bankruptcy counseling session, you will be asked to pay 50.00 for this service and related certificate; however, we will not refuse services to anyone due to an inability to pay. You may also prepay for your post filing Education Program at this time. The fee for this class is between $50.00 for an individual or $75 per couple depending on the method used to take the class. The only acceptable forms of payment are debit cards, checks-by-phone, cashier’s checks or money orders. You authorize us to provide your attorney with copies of your action plan, pre-bankruptcy counseling certificate, and any other required information gathered during the counseling session. Pre-filing Bankruptcy counseling is mandatory before any individual or couple may file a bankruptcy petition. Since this session is a legal requirement and an official counseling certificate will be issued at the conclusion, by selecting the “I Agree” button you affirm under penalties of perjury; that you understand this statement as it is written, and that you are the individual(s) for whom the counseling session will be provided, and in whose name any certificates will be issued.