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Intake form

You have a specific situation. That is why we have referred you to this page. On this page you fill in your details and a description of your issue.

What can you expect from us?

You want to know what you can do in your specific situation. Our intake specialists from the Intake department will review your application. If everything is clear, we will immediately make you a non-binding proposal for your specific situation.

The intake form consists of two parts:

Step 1

Your data and dispute

Step 2

Summary and send

What do we do with your data?

We use the information you enter to make the best possible offer. We handle your data carefully and only with the aim of providing you with good information. In our Privacy Policy you can read everything about how we handle your data.

Will this be binding?

No, we will make you a non-binding proposal, specific to your situation. You choose whether you want to use it or not. So you are not tied to anything.

What if we still have questions?

If we have any questions regarding your application, we will contact you.

    • 1

      Your personal info and dispute

    • 2

      Summary and submit


    Your personal info and dispute

    Your personal info and dispute

    Are you a private or business:

    Your data


    Describe below as fully as possible how we can help you. What is going on?

    Upload relevant documents

    Do you have important documents that we need for your application? Then you can easily upload them here. You can use the following file types: PDF, JPEG, WRD, EXCL

    For example: judgment or notarial deed, e-mail correspondence, a letter or confession of guilt or other supporting documents.

    Note: maximum of 2 MB

    Larger files are best sent via WeTransfer. Add info@collection-company.com as recipient. You can also upload your documents later in your file.

    Do you want to upload more files

    Summary and submit

    Summary and submit

    Below you will find the summary of your application. Check if everything is filled in correctly and click submit at the bottom of the page. Something not filled in correctly? You can change your info by clicking the 'Back' button at the bottom left of the page.

    Why 40.000 customers have gone before you

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