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Mountain States Commercial Credit Management – elevated credit and collection services since 1988. Call us to improve your cash flow.    800-457-8244

If you have exhausted all avenues to collect from a debt owed to you, we can help. Simply fill out this form to get started. And, you can always contact us to provide support or answer questions.

 

    Date

    CREDITOR INFORMATION

    Creditor Name (required)

    Account #

    Address 1

    Address 2

    City
    		 State
    		 Zip

    Credit Executive (required)

    Phone (required)

    Fax

    Email (required)

    DEBTOR INFORMATION

    Debtor (required)

    Account #

    Customer Reference #

    Address 1 (required)

    Address 2

    City (required)
    		 State (required)
    		 Zip (required)

    Contact Name (required)

    Phone (required)

    Fax

    Date Last Invoice (required)

    Date Last Payment

    Report to Credit Bureau
    yesno

    Amount (required)
    $

    Select Starting Service: (required)
    Immediate ActionImmediate Litigation

    Supporting Documentation
    Itemized StatementCredit ApplicationPersonal GuarantyCredit ReportOriginal ContractPertinent CorrespondenceNSF ChecksNotes or drafts

    Date and results of last conversation with Debtor

    Upload supporting documents
    (We only accept .jpg, .gif, .png, .doc, .docx, .pdf, .txt file formats,
    file size limit is 1MB)



    If you need to send us more than 3 documents or larger files than are permitted, please contact us directly at 800-457-8244, fax us at 303-806--5360 or email us at claims@msccm.com

    By submitting the above account for collection, MSCCM is authorized to commence action against the debtor. You are authorized to accept payment, deposit funds in our name, and to select an attorney if warranted. We agree to abide by MSCCM’s standard fee schedule. No legal action will be filed without our prior consent.

    Random Quote

    I’ve used MSCCM for over 20 years and find them very professional and quick with updates. They do a great job on claims that have been pretty worked over by my staff. I’m very happy with their performance.

    — Kevin Kellogg, Credit Manager, Hunter Douglas Fabrication