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Debt Validation

Step-by-step interactive guide to request debt validation from creditors or collection agencies.

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Debt Validation Process

Complete each step to generate your debt validation request

Your Info

Creditor

Debt Info

Validation

Review

Enter your contact information. This will be used as the sender of the debt validation request.

Full Name *

Address *

City *

State *

ZIP Code *

Enter the information for the creditor or collection agency you are requesting validation from.

Creditor/Collection Agency Name *

Address *

City *

State *

ZIP Code *

Provide details about the debt in question. Include all known account information.

Account Number (if known)

Amount Alleged Owed *

Date of Original Debt

Original Creditor (if different)

Select the types of validation you are requesting from the creditor or collector.

Verification of the debt amount

Proof that I am the responsible party

Copy of the original contract/agreement

Documentation of debt assignment (if applicable)

Proof of licensing to collect debts in my state

Additional Information

Review your information and add your signature to complete the debt validation request.

Tip: Send this form via certified mail with return receipt requested. Keep copies for your records.

Date *

Signature *

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