Online Placement

If you would like to place claims online, simply fill out the form below and click the Submit button at the bottom.

If you are not currently a Receivables Control customer, but would like more information about our collection services, please contact Jim Fritz at 763.315.9631.

Online Placement for

Receivables Control

General Auditing Bureau

RCC/GAB Client Code *

Your Email Address *

Debtor Information

Name *

Address Line 1 *

Address Line 2

City *

State *

Zip *

Primary Phone Number *

Alternative Phone Number

Contact Name

Cell Phone Number

Email Address

Account Number

Amount Outstanding *

Last Payment Date

Most Recent Due Date

In the customer currently in business?

Did the customer sign a credit application

Please list any guarantors

Click here to attach account document(s) and/or copy of the personal guaranty

Click here to attach additional account document(s)

If yes, please briefly summarize

Additional Information

Do you know the customer's excuse for not paying the debt?

Faqs

Testimonials