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.