Submit a Claim

Submit a Claim to Collections with Class ®

The form below has been created to allow you to submit a collections claim form to Collections with Class ®. If you require the ability to send more claims, please contact us to discuss alternative methods of submitting claims: admin@collectionswithclass.com or call us at 604-854-3328

We ask that you submit a copy of the document supporting your claim with your request. These documents can be attached in electronic format or you can contact us for alternative options.

If you are not yet a Collections with Class ®, an Agreement will be sent to you once your account(s) is/are accepted. Upon receipt of this Collections with Class ® Agreement, you must immediately sign this document and return it to us.

Commission rates charged by Collections with Class ® (dba. ICA Ltd.). On recoveries are based on the outstanding account balance as at date of assignment. The Client agrees to pay to Collections with Class ® (dba. ICA Ltd.). Commission rates are as outlined below:

35% – Accounts up to 3 months in arrears
40% – Accounts 4 months to one year in arrears
50% – Judgment or Legal Action accounts, Accounts over 1 year in arrears, Balance owing $1000.00 or less, Accounts requiring locate
Accounts with substantial balances are negotiable
Administration Fee for each Assigned Account – $75.00 + GST
Commission is payable on all recoveries on assigned accounts, whether payment is received by ICA Ltd. Or by the Client.
GST is payable on all commissions.
No Collection – No Commission

Alternatively, you may download the Master Terms & Conditions PDF document, sign it and fax it to us;

Click here for the PDF document

Collections with Class Claim Form

CREDITOR INFORMATION

Your Name: *
Your Company (if applicable):
Your Address: *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Email *
Phone *

DEBTOR INFORMATION

Your Debtor's Name: *
Company Debt? If so, type:
Please select the type of CompanyLimited CompanySole ProprietorshipPartnership
Your Debtor's Address: *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Your Debtor's Phone: *
Your Debtor's Email:
Your Debtor's Balance Owing: *
Your Debtor's Date of Delinquency: *
Your Debtor's Date of Last Payment Received: *
Debtor's Date of Birth:
Debtor's Bank & Branch:
Debtor's Driver's Licence Number:
Debtor's Place of Employment:
Debtor's Social Insurance Number (SIN):
Additional Information or Comments
Upload any relevant documents:
Our Terms & Conditions: In consideration of International Credit Assistance Ltd. {ICA Ltd.} (the Collection Agency) agreeing to undertake collection of delinquent accounts on behalf of Creditor Name (the client), the Client agrees to the following:
1. Commission rates charged by ICA Ltd. On recoveries are based on the outstanding account balance as at date of assignment. The Client agrees to pay to ICA Ltd. Commission rates as outlined below:
  35%             - Accounts up to 3 months in arrears
  40%             - Accounts 4 months to one year in arrears
  50%             - Judgment or Legal Action accounts
  - Accounts over 1 year in arrears - Balance owing $1000.00 or less - Accounts requiring locate
  ***Accounts with substantial balances are negotiable***
  ***Administration Fee for each Assigned Account - $75.00 + GST***
  Commission is payable on all recoveries on assigned accounts, whether payment is received by ICA Ltd. Or by the Client.
  GST is payable on all commissions.
  No Collection – No Commission.
2. The Client agrees to assign accounts with ICA Ltd. Until they are settled, paid out, or become statute-barred. ICA Ltd. assumes no responsibility in the event that an account listed for collection becomes prescribed by the Statute of Limitations. Any decision to close an account is at the sole discretion of ICA Ltd. This master agreement relates to all accounts assigned from today’s date forward.
3. The Client agrees to inform ICA Ltd. Immediately if a payment or communication is received by them for any assigned account. The client further agrees to notify ICA Ltd. Immediately if they receive a Notice of Bankruptcy or a Notice of Orderly Payment of Debts or any other correspondence that is directly related to any assigned account.
4. The Client confirms all assigned accounts are legally due and payable to the client, and ICA Ltd. Has the Client’s authorization to report the accounts to Equifax or any other credit reporting agency.
5. The Client agrees to maintain a record of all accounts placed for collection with ICA Ltd.
6. When payments for any assigned account are received directly by the client from a debtor or his/her representative, the Client will immediately notify ICA Ltd. Who will then submit an invoice to the Client for earned commission.
Invoice Terms: Net 30 days, After 30 days, interest will be added at the rate of 2% per month (24% per annum) on all overdue outstanding invoices.
ICA Ltd. Shall have the authority to receive payments in cash, cheque, draft, money order, and/or any other negotiable instrument made payable to the client, such payments to be deposited to the Bank Trust Account operated by ICA Ltd. For the benefit of its clients.
In consideration of ICA Ltd. Acting on the Client’s behalf as its collection agent, the client will indemnify ICA Ltd. Against any losses, costs, damages, expenses, and the costs of whatever kind or nature which the Client may incur by reason of or in consequence of acting as the Client’s collection agent with respect to collection of the Client’s assigned accounts.
Client gives to ICA Ltd. full and complete settlement authority to accept payment or resolution of the assigned accounts for any amount when ICA Ltd. deems it is in the best interest of both the Client and ICA Ltd.
Click here to indicate that you have read and agree to the terms presented in the Terms and Conditions above: *
Check here if you accept these terms.Yes

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Submit a Claim

Submit a Claim to Collections with Class ®

Collections with Class Claim Form

CREDITOR INFORMATION

DEBTOR INFORMATION

Verification

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