Quick & EZ

Getting your company's debt collection process started couldn't be easier. Just follow these three quick steps, and you'll be on your way. If you have any questions, please feel free to contact us.

1) Download

If you are a new client, simply download and fill out an Agency Agreement, a Listing Sheet and a HIPAA Agreement (if you are a health care provider). If you are already a client, you only need to download and fill out the Listing Sheet:

• Agency Agreement*

• Listing Sheet

• HIPAA Agreement (health care clients only)*

*These forms only need to be submitted once - at the time of your initial application to have Central Collection Corp. act as your agent.

2) Mail, E-Mail, or Fax

Please send the following documents to us via mail, e-mail or you can fax us at (262) 754-2224.

• Listing Sheet
• HIPAA Agreement (Health care clients only)
• Complete Itemized Statement for each delinquent account (If faxing, please limit the number of pages to 10 or less)

3) Collect

That’s it! We will acknowledge the receipt of all accounts in writing and then begin the collection process. Any monies collected during a given month will be remitted the following month along with a remittance statement.

Downloads

Listing Sheet

HIPAA Agreement
(health care clients only)*

Agency Agreement