Collection Form Template UK

The Collection Form Template UK is offered in multiple formats, including PDF, Word, and Google Docs, with fully editable and printable examples provided.

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Sample

Collection Form Template UK

Editable – Printable

PDF – 1 PDF – 2

Collection Form Template UK

1. Collector Information


2. Debtor Information


3. Collection Details


4. Payment Options

5. Collector Responsibilities

6. Debtor Responsibilities

7. Collection Process

8. Data Protection and Confidentiality

9. Dispute Resolution

10. Signatures and Agreement

11. Declaration and Signatures



PDF

WORD

Examples

Collection Form Template UK (1)
Collector Information:
[Name of the Collector]
[Collector’s ID]
[Collector’s Address]
[Collector’s Phone]
[Collector’s Email]
Debtor Information:
[Name of the Debtor]
[Debtor’s ID]
[Debtor’s Address]
[Debtor’s Phone]
[Debtor’s Email]
Collection Details:
This form is to facilitate the collection of outstanding debts from the Debtor. It outlines the amount due and the terms of payment.
Amount Due:
£[Total Amount Due]
Invoice Number:
[Invoice Number]
Due Date:
[Due Date]
Payment Method:
The Debtor may pay via bank transfer, cheque, or any other agreed method outlined in this collection form.
Clause 1: Acknowledgment of Debt
The Debtor acknowledges the debt to the Collector and agrees to the terms set forth in this form.
Clause 2: Payment Plan
If applicable, the Debtor may propose a payment plan to settle the debt. The Collector may agree or renegotiate the terms.
Clause 3: Default Clause
Failure to make payments as agreed may result in further collection actions, including legal proceedings.
Clause 4: Confidentiality
Both parties agree to maintain the confidentiality of this agreement and any personal data involved, complying with GDPR regulations.
Signed in [City], [Date].
Sincerely,
[Signature of the Collector]
[Name of the Collector]
[Signature of the Debtor]
[Name of the Debtor]
Collection Form Template UK (2)
Collector Details:
[Name of the Collector]
[Collector’s ID]
[Collector’s Address]
[Collector’s Phone]
[Collector’s Email]
Debtor Details:
[Name of the Debtor]
[Debtor’s ID]
[Debtor’s Address]
[Debtor’s Phone]
[Debtor’s Email]
Purpose of Collection:
This form outlines the debt owed by the Debtor to the Collector, including necessary payment instructions and deadlines.
Total Debt Amount:
£[Outstanding Debt Amount]
Reference Number:
[Reference Number]
Payment Due Date:
[Payment Due Date]
Accepted Payment Methods:
Payments can be made via direct bank transfer, cheque, or through our online payment portal.
Clause 1: Debt Confirmation
The Debtor confirms the validity of this debt and agrees to the payment terms as stated herein.
Clause 2: Negotiated Payments
The Debtor may submit a request for a payment plan which the Collector can either accept or discuss further.
Clause 3: Consequences of Non-Payment
Failure to adhere to the agreed payment terms may lead to external collection efforts or legal action.
Clause 4: Data Protection
All information will be treated confidentially, ensuring compliance with data protection laws, including GDPR.
Signed in [City], [Date].
Sincerely,
[Signature of the Collector]
[Name of the Collector]
[Signature of the Debtor]
[Name of the Debtor]

Printable

PDF – 1 PDF – 2

Collection Form Template UK