Debt Submission Form 1

To submit a new debt matter to us, please complete the form below.

Fields indicated by * are mandatory.

Your Details
Debtor Details

Account number with your debtor
England Northern Ireland Scotland Wales

If debtor is an individual, enter their date of birth if known
Debt Details

If the amount due is in another currency, please let us know if the additional information section below

Choose whether or not to claim late payment interest and compensation from the debtor. If the debtor is an individual no late payment will be charged

Allowed file types: csv, doc/docx, jpg/jpeg, pdf, png, ppt/pptx, rtf, txt, wpd, xls/xlsx
Upload invoices / statements

Please enter the validation words you see above into the box below