Debt Lodgement Form | NCS Debt Collection Melbourne & Brisbane

Please complete the fields below to lodge your debt online. The more information you can tell us now the faster we can get started with your debt recovery request. Please contact us at any time with questions or if you need assistance completing this online Debt Lodgement form.

Are you already a Client of NCS?*
- Yes
- No
Client Number
If you are not a current client of NCS, you will need to complete our online Service Agreement before uploading your debt. If you have questions please call 1300 888 758 or email info@natcollection.com.au with questions.
Your Details
Name*
First Last
Company/Business Name*
Phone*
Email*
Debtor Details
Name
First Last
Company/Business Name*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone*
Fax
Mobile
Email
Date of Debt*
Amount Owing*
Action Required
Please proceed with*
Additional Information/Comments
Authority to Proceed*
- I have read and agree to the Terms and Conditions.
I hereby authorise National Collection Services to act on our behalf for the collection of accounts and in matters relating to all collections and legal action deemed necessary as instructed by clients to recover monies due and owing.
Support Documentation
Please upload documentation to assist us with your debt recovery needs.
Accepted file types: jpg, pdf, doc, docx, xls, xlsx, png, ppt, pptx.
Accepted file types: jpg, pdf, doc, docx, xls, xlsx, png, ppt, pptx.
Accepted file types: jpg, pdf, doc, docx, xls, xlsx, png, ppt, pptx.
Captcha

Debt Lodgement

Your Details

Debtor Details

Action Required

Support Documentation

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