Client Portal

Claim Placement

Please complete the following with as much information as possible to aid us in our collection efforts. Please be sure to send any and all supporting documents you have that prove you have a valid claim for monies due and owing to you and/or your company. If you have any questions please call us at 303-223-6108.
  • Client Information

    In this section please provide us with general information about you or the business to which money is owed. We need your contact information so we can keep in touch with you about your account.
  • Your name or the name of your business.
  • Who is the mail person we should contact about this?
  • The best number to reach you.
  • The best number to send faxes to you.
  • The best address to mail you checks or other information. Don't worry we keep your information private and do not EVER sell, rent or lend your information to ANYBODY.
  • Are you a member of Lawyer's Assurance Group (LAGA) or Executive Legal Services (ELS)? Special discounts apply if you are a member of these organizations!
  • Debtor Information

    In this section please tell us everything you can about the person or business that owes you money. You will also provide us with important information about the amount you are owed and how long the amount is overdue.
  • What is the full and legal name (if known) of the business or person that owes you money?
  • Who is the best person to speak with about the debt. For example, this could be an accounts payable person, the parent of a minor child or a co-signer of a lease.
  • Where the debtor is located.
  • Where the debtor recieves mail. Such as, a PO Box or UPS Store box number.
  • The business or person's main contact phone number.
  • The business or person's cell phone number.
  • The business or person's fax number.
  • Have an idea where the debtor works? Let us know!
  • If you know, please tell us thier date of birth.
  • If you know, please tell us thier social or drivers license information.
  • Account Information

    In this section please provide us with details of the account regarding the amount owed, how old the debt is, amount of last payment, etc. This information needs to be as accurate as possible.
  • How much money are you owed?
  • Have an interest rate specified in your contract or on your invoices? Put it here and we will add the interest to the total amount you are owed.
  • This is the date the debtor stopped paying, payment became due, when the check bounced or credit card was declined.
  • If the debtor was paying you and later stopped, what was the date of the last GOOD payment they made?
  • If the debtor was paying you and later stopped, what was the amount of the last GOOD payment they made?
  • Did the debtor write a check that was later returned by the bank? If so, we will need a copy of the check later.
  • Want to excersize your legal rights? We can help you pursue this through small claims court or through higher courts with attorney representation should it become necessary. If we feel a legal remedy has become an option we will discuss this with you in great detail first.
  • If offered, would you be willing to accept an amount smaller than the total amount you are owed?
  • Have any other info to share? This is a great place to enter a summary of the situation or any other details you feel are important regarding this account.
  • If you have trouble uploading, you can fax your supporting documents to 303-223-6102 or email them to info@edrcollections.com The following file types are accepted: doc, docx, xls, xlsx, pdf
    Accepted file types: doc, xls, xlsx, docx, pdf.
  • Accepted file types: doc, xls, xlsx, docx, pdf.
  • Accepted file types: doc, xls, xlsx, docx, pdf.
  • By Clicking the "I Agree" Box below, I acknowledge that I have read, understood and agree to EDR's Term's & Conditions. I hereby certify that the debtor(s) placed for collections are obligated to pay the amount claimed and I can and will supply documentation and verification of the debt if it is disputed. I hereby assign accounts to EDR with cause for action, subject to the provisions of the aforementioned Terms & Conditions.
  • This field is for validation purposes and should be left unchanged.

 

See our Terms & Conditions

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