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Debt recovery instruction form

If you wish to instruct our debt recovery solicitors to send out a letter before action, please complete the form below. 

Once the debt recovery instruction form is submitted, the letter before action will be prepared.

If you require a bulk debt recovery or collection service please contact us to discuss your requirements on  01616 966 229 .

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Instruction form

Fields marked with a * must be completed.

Your details

Please enter the contact name
Please enter your position in the Company
Please enter your the Company name and address
Please select your title
Please enter your telephone number
Please enter your fax number
Please enter your email
Please enter your web address
Please enter the number of employees
Please enter the number of offices/sites
Please enter your preferred contact method

Debtor Details

Please select the debtor's status
(If debtor is an individual we need their title and full name or at the very least their title, initial and surname)
Please enter the debtor's telephone number
Please enter the debtor's address, along with a postcode

Sole Trader - Further Information

How did the debt arise?

If written agreement:

Please provide the date of the written agreement
Please provide the details of the parties to the written agreement
Do you have a copy of the agreement?

If oral agreement

Please provide the details of the parties making the agreement
Please enter details of what was agreed
Please provide the date of the oral agreement
Please provide when the oral agreement was made
Have instalments been offered?
Please enter details of instalment offer

Invoice information

Please supply the information below - this is essential

Please enter the number of invoices

Clear
 

Payment details

Please enter the total amount outstanding
Please select the payment terms (in days)
If other, please enter the payment in terms (in days)
Was your debtor dealing with you in the course of their business?
If so please provide interest rate as specified in your Terms & Conditions
Please select how you heard about us
Please enter the verification code

Submitting your details indicates your consent for a member of our team to contact you about your enquiry and obtain feedback regarding our service.  To learn more about how we keep your information safe please read our privacy policy.

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