Single Claim Submission.

Instructions

1. Provide Complete Information
Fill in as many details as you can. If something doesn’t apply, type “N/A.” Our team will help fill in any gaps later.

2. Signed Agreement Required
We must have a signed agreement before we can begin working your claim. If you haven’t signed one yet, request it here.

3. Claim Eligibility

• Claims must be over $1,000.

• Do not submit if the debtor is permanently out of business unless you have a signed personal guarantee (PG).