Client Name
Client Account Number
Debtor First Name
Debtor Last Name
Debtor Address
City
Province Choose one Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Northwest Territories Nunavut Yukon
Postal Code
Client Collector Name
Date of Field Visit
Time of Field Visit
Debtor Phone
Debtor Employer
Collateral Condition Choose one Poor Fair Good Excellent See Comments below None
Attach Image
Comments
Field Agent Email (a copy of the form will be sent here)
Field Agent Name
We strive to protect and carry out our client's detailed requests with speed and accuracy in compliance with credit, collection, and provincial laws with courteous business practices, then provide back a clear and accurate status report aimed to exceed our client’s expectations.
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