(416-371-6654)

Email: info@alldebtcollections.com

Submit a claim

The forms below have been created to allow you to submit multiple accounts at once. If you require the ability to send more accounts, please contact us to discuss alternative methods of submitting accounts.

We ask that you submit a copy of the document supporting your claim with your request. These documents can be attached in electronic format or you can contact us for alternative options.

If you are not yet a Client of All Debt Collections Inc. (ADCI), a Collection Agreement will be sent to you once your account(s) is/are accepted. Upon receipt of this Collection Agreement, you must immediately sign this document and return it to ADCI.

 

Client Name: Contact Name:
Client # (if any): Address:
Country: Province/State:
Email: Postal/Zip:
Date Submitted: Telephone:
How did you hear about us?: Fax:
 Yellow Pages (book) Yellow Pages (web) Direct Mail Web Search Referral Fax Broadcast

Debtor 1

 
Name: Balance Owing:
Contact Name (if business): Interest Rate (Annually):
Co-Debtor/Guarantor: Date of Delinquency:
Spouse's Name: Date of Last Payment:
Address: Date of Invoice:
Province/State: DOB (mm/dd/yyyy):
City: Bank & Branch:
Postal/Zip: Driver License #:
Home Tel: (incl. area code): Social Insurance Number:
Work Tel: (incl. area code): Place of Employment:
Cell: Legal Action Taken:
Fax (incl. area code): Known Assets:
Email : Description of Debt/Comments/Reasons for non-payment:
Attach a Document:  
 
Terms and Conditions:
 

Contact Us

Address: 201 - 1450 O'Connor Drive, Bldg. #2
Toronto, Ontario M4B 2T8
Tel: 416-371-6654
Fax:1-888-205-7886
Toll:1-888-534-2579
Email: info@alldebtcollections.com