Submit your claim

"*" indicates required fields

Your data

Company name*

Name*

Prefix Name

E-mail*

Phone number*

Address

Street Address ZIP / Postal Code City Country

IBAN-number

Opposing party (Debtor)

Company name*

Name*

Prefix Name

E-mail*

Phone number*

Address

Street Address ZIP / Postal Code City Country

IBAN-number

The Claim

Total claim

Currency

Disputed

Has the claim previously been handed over to a debt recovery intermediary?

Documents

Add the list of outstanding charges, including the invoice number and the payment conditions.

Documents

Drop files here or

Accepted file types: jpg, jpeg, png, gif, pdf, Max. file size: 5 MB, Max. files: 5.