Registration form

Thank you for using our debt collection services. We are very pleased that we may present you in this matter. In our workflow, we usually commence with a non-legal collection procedure.

After registration, please continue with Step 2. To enable us achieving the best results, we kindly request you to send us - if applicable and available - the following info:

A copy of your Terms & Conditions.
Copy of the contract with your client.
If there is no signed agreement, additional information that shows how the claim has originated.
Invoice(s) or other documents that clearly mention the size of the claim.
E-mail(s) or other correspondence about the case.
Debtor’s info such as phone and/or mobile number, E-mail, miscellaneous debtor contact information.

You may send this info to klantenservice@justice.nl

Please do not include files as attachments by e-mail that exceed 10Mb. Please divide such large files over several emails. You might also use WeTransfer or Google Drive for large files.

I agree

I agree*

Create your account

I am a:

Organization
Consumer

Organization name*

(If you are a private client, please fill in the field Organization name* your family name. And please fill in field Legal form* ‘private person’)

Legal form*

Chamber of Commerce registration

Salutation

Initials*

Last name*

Insertion

Address*

StreetNumberAddition

ZIP codeTown

Country*

Phone*

Mobile

E-mail address*

Bank account number

BIC-code (SWIFT)

Name of your bank

Resident beneficiary

Total amount to collect

Remarks

Country of beneficiary

VAT-liable*

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