Prefer to print and fax/email? Use our PDF forms found HERE
PLEASE READ: We do not publish our Terms and Rates, or Contingent Fee Schedule, as we consider them trade secrets. Call or e-mail us for a quick explanation of benefits and rates. You may fill out the information below prior to that, but we will not begin the process until you have signed off on the Terms and Rates. CONTACT US FOR TERMS AND RATES.
Send us an account where a business owes you money using the form below.
Click HERE for claims we do not accept
If you have submitted accounts before, we ONLY need your Company name. If this is your first placement with us, please fill out each field as detailed as possible. Always fill out the Debtors information in it's entirety based on what you have available. We'll contact you if we need anything further.
****After clicking "Submit" you will be taken to a confirmation page. If not, please ensure you are not missing any required fields, and then re-submit****
By submitting an account online you are engaging our debt collection service and you agree to our standard "TERMS AND CONDITIONS" as well as "THE CONTINGENT FEE SCHEDULE". If you do not have a copy of these documents already, please CONTACT us immediately. We will begin collection procedures immediately and follow up with you accordingly.