Legal Forwarding from NACM East Coast
Use this form to submit a claim - work begins within one business day!
In addition to the information below, please FAX any documentation on the account to NACM Collections, 540-364-0403.
Your Name
Your Company
Address

NACM Member Number
Your Phone
Your Fax
Your E-mail


About the Debtor:
Debtor Name
Debtor Company
Debtor Address
Business Type Corporation   Partnership   Sole Owner
Is this claim disputed? Yes   No
Check all documentation you hold on this claim:
Credit Application
Invoices
Statements
Personal Guarantee
NSF Checks
Correspondence

What should we know about this claim before beginning work?
Give us any pertinent comments below. We will still contact you for instructions regarding your attorney preference.
Comments

Conditions of Service & Creditor Authorization Statement

By pressing "submit" you are authorizing NACM East Coast to take immediate action as your legal forwarding agent.