Debt Collection Assessment Inquiry Form

    Your details:

    Debtor's details:

    Sole traderPartnershipPlc.Ltd.IndividualOther

    (other please specify below)

    Details of Debt:


    (e.g. goods sold and delivered, services rendered, dishonoured cheque)


    (days)


    (if applicable)


    (allowed formats: jpg, png, gif, txt, doc, xls, ppt, pdf, zip; for other formats or more than one file please use zip)

    * required

    All inquiries are treated confidentially. Completion of a form does not create a professional relationship with Eiger Law.