Place a Claim



Please complete and submit the following form if you would like to place a claim with us. Fields marked with an are required.

NOTE: This form is intended for businesses who are not yet clients of DCS. If you are already a member, please use the login link.

Information about the debtor
Debtor name:
Debtor Country:
Amount placed:
Country currency:
Service Requested:
Client File Number:
Provide the following (if available)
Debtor contact:
Debtor's business type:
Your experience with debtor:
(hold Ctrl key and
click all that apply)
Special Instructions:
Information about you
Creditor name:
Creditor division:
Creditor contact:
Creditor email: