Place a debt

Debt recovery placement form for existing clients only.

Note: If you are not already a Score client then you must join first

Note: If you have another debt to place today then submit this one and repeat the process from the start

Your Reference Number
Debtors Company / Personal Name*
Debtors Trading Name
Debtors ABN
Debtors Street Address (or Last Known Address) *
Debtor Alternative or Postal Address
Debtor still at street address?*
Contact name at debtor business
Debtor Business Phone
Debtor Business Fax
Debtor Home Phone
Debtor Mobile
Debtor Email Address
Actual Amount Owing to You*
You can add our fees and a commission calculation to any debts you place provided that you have a signed written agreement with this debtor allowing for this.
Add Scores Fees?*
Scores Fees Amount (include commission)
TOTAL to collect (Debt & Fees)*
Starting date of debt *
Ending date of debt
Details of the debt (Insert details)*
Guarantees Held
Details of Guarantee – date and names
Your Instructions*
Other Instructions
Has the Account been with another agent or solicitor before? *
NOTE: After you SUBMIT this form you should receive an acknowledgement advising you that we will be in contact with you. IF YOU DO NOT RECEIVE THAT ACKNOWLEDGEMENT PLEASE FREE CALL US 1300-265532 TO ADVISE US.