New clients, please complete this entire section.
Returning clients, please ensure that your company name is on the first line.
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Please forward a copy of the judgment by fax to
(800) 461-0496, or by email to firstname.lastname@example.org.
Please enter any additional comments below:
Completing all steps online resulting in the Submission of an account to ACA, signifies the client’s acceptance of the Terms & Conditions as they apply to that specific collection matter.
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You must agree to the Terms and Conditions by checking the box above.