New clients, please complete this entire section.
Returning clients, please ensure that your company name is on the first line.
* Indicates a mandatory field.
Please forward a copy of the judgment by fax to
(800) 461-0496, or by email to email@example.com.
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.
Acceptance of Terms and Conditions
I accept the terms and conditions listed above. *
You must agree to the Terms and Conditions by checking the box above.