Use this form to submit a Commercial Collection Claim via email. An ACL
representative will contact you shortly to confirm your claim and gather any additional
information we may need.
If you need to send us any of the additional items listed below, please indicate here:
Itemized Statement of Account
Copy of Bad Check (NSF checks only)
Copy of Debtor Check (to assist in locating debtor's bank account)
Debtor's Social Security #:
Address Line 1
Address Line 2
Claim Submitted By (leave blank if same as client name):
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