Stokes & Wolf, Attorneys At Law - Claim Submission Form

Commercial and Consumer Debt Collection Anywhere In The State of Colorado

Denver Office: 888-499-9642 Toll Free

Colorado Office Share Available For Out Of State Collection Agencies

We collect both commercial and consumer accounts. See the "type of debt" drop down menu below for information on the description of debts you may place with our firm. Should you have a question on whether we will accept a certain type of debt, please contact our office at your convenience. Our toll free number is 888-499-9642.

To use our electronic form below, simply fill in the blanks and click "Submit Your Information". We will receive your information via email and contact you shortly.

Claim Submission Form

Please Fill In Debtor Information Here

Debtor Name Contact Type Of Debt

Account # Principal Amount of Debt Interest Rate

Interest Start Date Interest Added In Total Debt Owed

Address 1 Address 2

City State Zip Code

Phone Cell Phone Fax

Email Address Web Address

Please Check All That Apply To Describe The Nature Of The Account You Wish To Place

Goods Sold Services Rendered Credit Card Lease

Promissory Note Written Contract Oral Contract Judgment Loan Other

Has this debt ever been placed with a collection agency or a collection attorney previously?

Special Requirements Of Collection Provider or Additional Comments

Claim Forwarded By:

Name

Title

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Phone

FAX

E-mail

Website

Security Validation

Please type the code located in the highlighted box into the box beneath it so we know this is a legitimate request.

FXWQc477

Letters are case sensitive.

All collections are covered with a $250,000.00 lawyers liability policy.