Help Starts Here

At CCCS, our approach is highly flexible. We'll work with you in-person, online, or over the phone to get you the financial support you need, when you need it. As a first step, please complete the required fields below to the best of your abilities, and one of our counselors will get in touch with you. Note that this is simply for our use, which will be kept completely confidential.

For Wisconsin and Illinois residents only. If you have questions or if you need more information, please visit the Contact Us page.

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Basic Information
Assets or Equity
Home or Property
Vehicles, Boats, Cycles, Campers
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Monthly Payments on Unsecured Debts
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Monthly Living Expenses
Child Expenses
Medical Expenses
Any additional information we should know: