Submit Bankruptcy Information

Thank you for visiting our site.  Please complete as much of the information below as possible to ensure we are able to locate, confirm, and remove from active collections any account(s) that have been included in your bankruptcy.

Please understand that submission of this form is for those who have retained an attorney and filed bankruptcy.  If you have not yet filed bankruptcy and are considering your options, please consider calling one of our professional Account Resolution Specialists who may be able to assist you in establishing a repayment plan that could work within your budget.

Your Personal Information

Your Bankruptcy Case Information

Your Bankruptcy Attorney's Contact Information

Other Information that you would like to include

Click or drag a file to this area to upload.