DEBT RECOVERY ASSESSMENT FORM
The Dollars Back is an innovative national and international provider of commercial Debt Collection, Business Due Diligence, Accounts Receivable Management, Credit Insurance Advisory services, Export Document Outsourcing  services for B2B clients around the world.  Its team of professional collection specialists who will handle all your debt collection cases, locally or internationally over 110+ countries! Our charges are 100% success fee basis on "NO COLLECTION-NO FEE" model; i.e. "We get paid only when you get paid." The Dollars Back's mission is to provide Business/commercial credit and Debt management services with outstanding and flexible solutions for improving credit, cash flow, and customer retention throughout the world.

Take our short questionnaire to tell us a little about your bad debts. We will review and help you collect your debt swiftly and cost effectively.

[This Debt Recovery Assessment Form is maintained by The Dollars Back. The information shared here is used for our internal review and assessment only.]

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Email *
www.thedollarsback.com
Your Company Name?
Your Company Address?
Contact Person's Name?
Contact Person's Number?
Contact Person's Email ID?
Is it a Business to Business (Export/Import/Domestic Trade) or Individual (B2C/C2C) Debt you wish to collect?
Clear selection
What is the nature of your debt?
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Which Country and City is your debtor Located?
How old the debt is? (Date of oldest invoice and Due Date)
Clear selection
What is the principle amount outstanding as on date? (To be Recovered - in Invoice currency)
Have you received any Part Payment from the debtor?
Clear selection
Have you received any settlement proposal from the debtor previously?
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Has the debt acknowledged by the debtor ? Do you have any acknowledgement letter/email from the debtor?
Clear selection
Has the Debtor taken the delivery of Shipment?
Clear selection
When was your last contact with the debtor (by Phone/Chat/email/visit)
Clear selection
Is your Customer (Debtor) still in Business or Bankrupt?
Clear selection
Are you still doing business with the Debtor Company?
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Is the concern Person in the Debtor company still contactable or Absconding?
Clear selection
Do you have sufficient documents in support of the claim like Invoice, Purchase order, Proof of delivery of Service/Product (BL/Airway Bill), Debt Acknowledgement etc. ?
Clear selection
Have you tried to collect your debt through any Agency/Law Firm previously?
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According to you, what is the major reason for Non-Payment by the Debtor?
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Do you have Trade/Export Credit Insurance coverage (like ECGC) on this Shipment?
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Any other valuable information you would  like to share on the debt.
How do you come to know about THE DOLLARS BACK?
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A copy of your responses will be emailed to the address you provided.
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