Online request

You can send us any debt collection requests by filling out the below request!

    Your company details

    Are you currently a customer?

    Yes, I am a customerNo, I am not a current customer

    Costumer ID

    Customer Name (required field)

    Address (required field)

    Telephone (required field)

    Fax

    E-Mail (required field)

    Debtor

    Company name (required field)

    Address (required field)

    Telephone

    E-Mail

    Customer ID / Invoice No.

    Date of invoice

    Invoice due date

    Type of debt (required field)

    Invoice balance

    Details

    Request

    I request for the transfer of funds owed to the following account:

    Bank

    IBAN

    BIC

    Date

    In order for us to efficiently fulfil your request please send us a copy of the invoice via fax to +43/(0)662/875346-22 or email auftrag@COMMERZ-inkasso.at.

    I have read and understood the terms and conditions (AGBs) and hereby give COMMERZ Inkasso the authority to act on my behalf regarding the above mentioned invoice and subsequent debt.