Submit a Claim


Submitting a claim to our office is a very simple process. Fill out the information concerning the debt below click submit and your done. One of our representatives will contact you immediately regarding your claim. If you have multiple debtors you would like to submit you may use this form multiple times or you may also download our information packet at the bottom of this page. If you have any questions regarding this form please call us at 888-526-3007 and we would be happy to speak with you. Don’t forget if we do not collect you owes us absolutely nothing.

Your Information

Contact Name

Street Address

Address Line Two

City State, Zip Code

Best Number for You

Email Address (we don't spam)

Any Additional Information

Debtor's Information

Person Who Owes You Money

Street Address

Adress Line Two

City State, Zip Code

Their Phone Number

Their Email

What Type of Debt is it?

When Did this Become Past Due

How Much do they Owe You?

Any Other Information We Should Know?

A new window will pop up for you to browse our terms of service if agreed upon please click that button below. If you would like for us to contact you regarding your claim and to discuss the terms please click Do not agree with terms.
CLICK TO VIEW TERMS OF SERVICE

Agree to termsDo not Agree with Terms

Additional Claims

If you have additional claims to submit please click here. This will refresh your browser and the above form.

Download Our Info Packet