The claim

Change

Amount -

On which account can we deposit the collected amount? -

Add documents Upload your outstanding item list, contract, invoices, correspondence, etc. here.

You can drag and drop your documents into this box or Browse files

(You can upload a maximum of 15 MB)

Has the claim already been assigned to a debt recovery agent? -

Yes

Does your customer have a reason not to pay (disputed claim)?

Yes

Remarks For example: Debtor does not answer emails, is difficult to reach, etc. -

Previous step

Next step

Debtor

* = Required

Change

Is your debtor a business or private individual?* Business

Business

Private

Country -

Company name* -

Contact person

Email address -

[%fieldname%] has not been completed (correctly).

+ Add another email address

Phone number -

+ Add another phone number

Address -

Zipcode -

City -

Zipcode

City

DUNS (CoC) -

Previous step

Next step

Upload your claim

Every case deserves a good start. If you share a few details about your situation, we will take care of the rest.

My details

* = Required

Change

Are you a business or private individual?* Business

Business

Private

Country -

Company name* -

Contact person*

[%fieldname%] has not been completed (correctly).

Email address* -

[%fieldname%] has not been completed (correctly).

Phone number* -

[%fieldname%] is not filled in.

Address -

Zipcode -

City -

Zipcode

City

DUNS (CoC) -

Next step

Yes, I agree with the policy and the Privacy statement

* Required

Fill in your data securely via our SSL connection.
You do not need an account to transfer your claim to us.

Claim honeypot information

Do you have questions about this form?

‍+1 929-202-4352

115+ Attorneys and debt collection specialists

Ready to fight for your claim

Sander Bierens

CEO & Attorney

Jeffrey Serber

Business Development Manager

Bart van Onna

Debt collection attorney

Pim van Zwijndregt

Debt collection attorney

40.000+ Customers came before you

From SME to multinational

Confirm

The claim

Debtor

Upload your claim

My details