[Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Collection Agency Name] [Collection Agency Address] [City, State, ZIP] Re: Collection Referral ā Account [Account Number] Dear Sir/Madam, I am writing to formally refer the outstanding account [Account Number] of [Debtor's Name] to your esteemed collection agency. Despite our repeated attempts to resolve the matter amicably, [Debtor's Name] has failed to fulfill their payment obligations for [Service/Product Provided] in accordance with our agreed-upon terms and conditions. To provide you with a comprehensive overview of the account, please find the following details: Debtor Information: ā Name: [Debtor's Nameā - Address: [Debtor's Address] ā Contact Number: [Debtor's Phone Number] ā Email Address: [Debtor's Email Address] ā Account Number: [Account Numberā - Amount Owed: [Outstanding Balance] Invoice/Transaction Details: ā Invoice Number: [Invoice Numberā - Invoice Date: [Invoice Date] ā Due Date: [Due Dateā - Total Amount: [Total Amount] ā Partial Payments Received: [Partial Payments Received] Communication History: ā Date of First Reminder: [First Reminder Date] ā Date of Second Reminder: [Second Reminder Date] ā Date of Third Reminder: [Third Reminder Date] ā Summary of Communication Attempts: [Detailed summary of all communication efforts made to resolve the matter, including dates, methods (phone calls, emails, letters), and any responses received] We have attached copies of the invoices, notices, and all related communication for your reference. Considering the outstanding payment, we kindly request that your agency initiates the necessary collection efforts to retrieve the unpaid amount on our behalf. This may include contacting the debtor directly, sending collection letters, negotiating a payment plan, or pursuing legal action if deemed necessary. Please keep us informed regarding the progress of this account and any updates regarding the collection process. We expect professionalism and compliance with all applicable laws, regulations, and ethical practices during your interactions with the debtor. Should you require any additional information or have any questions, please feel free to contact me directly at [Your Phone Number] or [Your Email Address]. Thank you for your attention to this matter. We trust in your expertise and abilities to handle this collection referral promptly and effectively. Yours sincerely, [Your Name] [Your Title/Position] [Your Company Name] [Your Company Address] [City, State, ZIP]
Para su conveniencia, debajo del texto en espaƱol le brindamos la versiĆ³n completa de este formulario en inglĆ©s. For your convenience, the complete English version of this form is attached below the Spanish version.