YOUR DETAILS

DEBTOR'S DETAILS

Please attach copies of invoices/statements and other correspondence previously issued to
your debtor relating to this debt.

UPLOAD FILES

Please add CVM fees to this debt amount as our contract with the debtor confirms that debt collection fees are paid by the debtor.

In submitting this Collection Request Form, I/we agree to pay CVM the Fee payable in accordance with the Debt Collection Services Term and Conditions irrespective of whether or not the Fee is recoverable from the Debtor or whether or not the Debtor pays the Fee.

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