Placement Claim Form

Simplify Your Claim - Submit Online Today!

Creditor Information
Debtor Name

By submitting this claim, you agree to the terms and conditions as set forth on our rates page unless other arrangements have been made.

** Claims placed in Final (Free) Demand automatically go into regular collection after the 10 day free demand expires.  Claims withdrawn during the 10 day free demand period are subject to full fees on the amount placed.

***Creditor must have signed agreement with customer to include collection fees.  NACM commissions are due on all amounts collected, including interest, collection fees, etc.  Collection fees are statutory and may be limited by local statute.


Conveniently review our rates and commercial collections schedule here:

Scroll to Top