Current Client – Self Service Referral

Personal Details

So we know who’s making the referral.

Business name

Email address*

One-Time Password*

Password verified.

Confirm your details

No match found in our records.

Debtor Information

Tells us who owes you money.

Debtor Trading Status

Business Name*

Contact person’s name

Phone Number

Email Address

Debtor Trading Address

Debtor Trading Address*

Street Address City Postal Code Country

Debt Overview

Gives us the background so we can act quickly.

Current debt balance*

Is a trace required?*

If you are not sure of the debtor’s current address

Yes

No

Is the debt in dispute?

Yes

No

Do you hold a County Court Judgment (CCJ) against this debtor? If so, please enter the Claim No.

In one sentence please describe what the debt relates to

Tell us how the agreement was formed

Who did you make the agreement with? What was said? Where did it happen? When did it occur?

Upload Invoices

Upload invoices*

Upload invoices

Enter manually

Invoice Number*

Invoice Amount*

Due date*

Details

Upload Invoices*

Drop files here or

Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 8 MB, Max. files: 20.

If available, please upload any supporting documents relating to the debt, e.g., contracts, copies of communications, photographs of work, screenshots etc

Drop files here or

Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 8 MB, Max. files: 20.