Williams Babbit & Weisman - Corporate Collection Agency

Want to give us a try? Use this on-line form to enter information about your company and a claim. A representative will contact you shortly.

If you are already a WBW client with a valid login you should not use this page!
Please first login and then use the "Submit a New Claim" link under "Customer Services."

Note: Required fields are marked with an asterisk (*)

Client Information
Company Name:	*
Contact:	*
Title:
Address:	*
City:	*
State/Zip:	**
Phone Number:	*
E-Mail:	*

Debtor Information
Debtor Name:	*
Address:	*
City:	*
State/Zip:	*
Country:
Contact:	*
Title
Phone Number:	*
Fax Number:
E-Mail
Acct. Number:
Last Pay Date:	(MM/DD/YYYY)
Date of oldest Invoice:	*(MM/DD/YYYY)
Last Pay Amount:
Principle Amount Due:	*

Use this area for the following:*
1. Results of last conversation or current facts:
2. Any additional info, such as additional contacts, phone numbers, etc.