Collection form

Submit a collection assignment easily
with a single form

Submit a collection order easily with a single form

Fill out the form and we will transfer your receivable for collection quickly and legally. All costs will be billed to the debtor.

Client *

Company / Business Private person / Individual

Company name *

Business ID *

Contact person *

Bank account number for IBAN invoicing *

Select bank *

Address *

Postal code *

City *

Phone *

Email *

Debtor *

Company / Business Private person / Individual

Company name *

Business ID *

Debtor's name *

Address *

Postal code *

City *

Phone *

Email *

Invoice delivery method *

Invoice number / reference number *

Outstanding balance includes VAT *

Invoice date *

Invoice due date *

Late payment interest (%) *

Attach your original invoice *

Additional information

The debt is based on an agreement At least one payment reminder has been sent regarding the claim I certify that the claim is undisputed I have read the general terms of the fast collection services and the service description and pricing, and I accept them

Submit a collection assignment easily
with a single form

OSOITE

Navigation

Customer Service

Submit a debt collection assignment

Submit a collection assignment easily with a single form

Submit a collection assignment easily
with a single form