NADL Members
To: United Commercial Collections
Please proceed with immediate collection of the account listed. We agree to notify you promptly of any payments received. We agree to pay your fees on any payments made from the date of assignment forward. We understand the agency retains interest collected unless other arrangements are made.
Debtor Information (All information is required)
Debtor
Address 1
Address 2
City
State Zip Code
Contact Name
Telephone Customer #
Balance Due
Last Charge
Debtor Entity
Partnership Individual

Creditor Information

NADL Member #
Creditor Name
Address 1
Address 2
City
State   Zip Code
Contact Name
Telephone
Fax
Contact E-Mail

Documentation (You can send up to 3 documents)

Description File
Click the browse button above to browse to the location on your computer.

We will be sending you the following documents via Fax/Mail:
Invoices Itemized Statement Credit Application Other
Select One:
10-Day Free Demand

Please include any comments that you deem necessary for this claims submission:





IMPORTANT: You authorize United Commercial Collections to forward this claim to an attorney if necessary. No legal action will be taken without your approval.

 

 

  
 


United Commercial Collections
4455 Genesee Street • Buffalo, NY 14225 • Ph (716) 250-4600 • Toll Free (866) 234-4610
Toll Free Fax (888) 856-3972
info@uccollections.com • www.uccollections.com
  © Copyright 2004. United Commercial Collections. All Rights Reserved.