Appointment of Collection Agent
for Your State
Appointment of collection agent to collect on a delinquent account for use in all states.
Through the use of this document, you appoint a collection agency to collect the delinquent account. This method of collection differs slightly from the actual assignment of the account for collection, in that the appointment of the agent for collection is only for a limited period of time and the fee which the collection agent earns is entirely dependent upon their ability to actually collect the money which is owed to you. This is known as a contingent fee arrangement. The collection agent may act on your behalf in attempting to collect the account, but does not have actual ownership of the account. You may limit the actions that the agent takes or spell out specific steps you wish taken with the special instructions. Generally, the payments will continue to be made to your company.
This for can be used in all states.
This for can be used in all states.
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.
Number of Pages2
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#22068
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.