Law Debt Collection Ltd - Don't Let Bad Debt Ruin Your Business

Collection Authority Form...

Debtors Details...(if not applicable use n/a)
Debtors Full Name:-	D.O.B:-
Trading Name:-	Contact Name:-
Debtors Address:-	Debtors P.O. Box:-
Debtors Telephone:-	Debtors Mobile:-
Debtors Fax:-	Debtors Email Address:-
Debtors Customer No:-
Do you have a signed credit application form?	Yes No
Do you have the debt recovery clause?	Yes No

Amount of debt?
Collection costs can only be added to the debt if you have a signed agreement with the debtor or the debtor is aware of extra costs at the time the job is done if not paid on time. YOU CANNOT ADD COLLECTION COSTS TO THE INVOICE AFTER THE WORK HAS BEEN COMPLETED.
Commission to be added to debt?	Yes No
Collection costs to be added?	Yes No
Can you post/fax/email copy of statements or invoices to us?	Yes No
Amount owing?	Date (as per statement)
Since paid?	Date
Balance owing?	Date
Do you require - Debt Recovery?	Yes No
Do you require - Tracing	Yes No
Do you require - Agents Visit?	Yes No
Do you require - Legal Action?	Yes No

Client Authorisation Part 1...(if not applicable use n/a)
Client Name:-	Contract:-
Client No:-	Date:-
Collection Officer:-	Special Comments:-

Client Authorisation Part 2 (type your name in the box)... I/We authorise Law Debt Collection to act as our agents in the recovery of all debt collection matters and agree to pay all commission and costs in accordance with the Terms Of Engagement completed. My/Our email address is Name of person completing this form: Email of person completing this form: