Debt Collection Help

PCS charges a sliding commission based on the value of the debts we collect. Please review our current commission schedule, before continuing.

Step 1: About You

Company/Business Name:*

ACN No:

ABN No:

Postal Address:

Business Address:

Legal Address:

Contact 1:*

Contact 2:

Mobile:

Telephone:*

Step 2: Authorisation

I, THE UNDERSIGNED, APPOINT PROFESSIONAL COLLECTION SERVICES TO ACT AS OUR AUTHORISED AGENT TO COLLECT ACCOUNTS AND INSTRUCT THEIR SOLICITORS WHERE LEGAL ACTION IS REQUIRED. AUTHORITY IS ALWAYS OBTAINED BEFORE ANY LEGAL ACTION IS TAKEN AS THERE ARE COSTS INVOLVED. I AGREE WITH THE TERMS AND CONDITIONS AND PRICE SCHEDULE.

I Agree to Authorisation 1

I FURTHER AGREE TO INFORM PROFESSIONAL COLLECTION SERVICES REGARDING ANY DIRECT PAYMENTS AND ALLOW COMMISSION AND OTHER CHARGES TO BE DEDUCTED FROM ANY MONIES HELD IN PROFESSIONAL COLLECTION SERVICES TRUST ACCOUNT ON OUR BEHALF. I AGREE THAT SHOULD THE ACCOUNT FOR COLLECTION BE SETTLED IN ANYWAY AFTER THE ACCOUNT HAS BEEN GIVEN TO PROFESSIONAL COLLECTION SERVICES FOR COLLECTION THAT THE COMMISSION AS PER THE SCALE WILL BE CHARGED.

I Agree to Authorisation 2

Signed (please enter your email address):*

Your Company / Business Name:*

Full Name:*

Title

Your Telephone:*

Date

Step 4: Debts

Debt #1

Debt 1 - Full Name of Debtor:

Debt 1 - Address:

Debt 1 - Phone:

Debt 1 - Your Reference Number:

Debt 1 - Amount:

Debt 1 - Date of Debt:

Month

Day

Year

Debt 1 - What Account is for:

Debt 1 - Any Other Info:

Debt #2

Debt 2 - Full Name of Debtor:

Debt 2 - Address:

Debt 2 - Phone:

Debt 2 - Your Reference Number:

Debt 2 - Amount:

Debt 2 - Date of Debt:

Month

Day

Year

Debt 2 - What Account is for:

Debt 2 - Any Other Info:

Debt #3

Debt 3 - Full Name of Debtor:

Debt 3 - Address:

Debt 3 - Phone:

Debt 3 - Your Reference Number:

Debt 3 - Amount:

Debt 3 - Date of Debt:

Month

Day

Year

Debt 3 - What Account is for:

Debt 3 - Any Other Info:

Debt #4

Debt 4 - Full Name of Debtor:

Debt 4 - Address:

Debt 4 - Phone:

Debt 4 - Your Reference Number:

Debt 4 - Amount:

Debt 4 - Date of Debt:

Month

Day

Year

Debt 4 - What Account is for:

Debt 4 - Any Other Info:

Debt #5

Debt 5 - Full Name of Debtor:

Debt 5 - Address:

Debt 5 - Phone:

Debt 5 - Your Reference Number:

Debt 5 - Amount:

Debt 5 - Date of Debt:

Month

Day

Year

Debt 5 - What Account is for:

Debt 5 - Any Other Info:

Debt #6

Debt 6 - Full Name of Debtor:

Debt 6 - Address:

Debt 6 - Phone:

Debt 6 - Your Reference Number:

Debt 6 - Amount:

Debt 6 - Date of Debt:

Month

Day

Year

Debt 6 - What Account is for:

Debt 6 - Any Other Info:

Debt #7

Debt 7 - Full Name of Debtor:

Debt 7 - Address:

Debt 7 - Phone:

Debt 7 - Your Reference Number:

Debt 7 - Amount:

Debt 7 - Date of Debt:

Month

Day

Year

Debt 7 - What Account is for:

Debt 7 - Any Other Info:

Phone

This field is for validation purposes and should be left unchanged.

Call us on 1300 799 067

Get your ducks in a row before the end of financial year.

We help get unpaid invoices paid.

We help get unpaid invoices paid.

Call us on 1300 799 067

Get your ducks in a row before the end of financial year.

Submit a Debt with Professional Collection Services

Authority to Act and Debt Submission Form

Step 1: About You

Step 2: Authorisation

Step 4: Debts

Debt #1

Debt #2

Debt #3

Debt #4

Debt #5

Debt #6

Debt #7

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