Register for debt collection

Do you have any questions or need advice about submitting your debt collection claim online? Please contact us. By telephone: 0318 – 584310 or email: info@denederlanden.nl

Your company name This field is required.

Your name This field is required.

Your gender

Mrs

Your address This field is required.

Your Post Code

Your city name

Your telephone number This field is required.

Your email address This field is required.

Your bank account number This field is required.

Debtor

Private or commercial

Private

Business

Debtor's (company) name This field is required.

Debtor's address This field is required.

Debtor's post code This field is required.

Debtor place This field is required.

Debtor's email address

Debtor's telephone number

Comments

Files

Select files: max. 3 MB

Als u meerdere documenten wilt bijvoegen, dan moet u alle bestanden selecteren en vervolgens toevoegen/openen

- Offerte/ huurcontract / contract
- Facturen
- Aanmaningen
- Correspondentie (mail/whatsapp)

Your files are too large. Send directly by e-mail to info@denederlanden.nl.

Outstanding invoices:

Invoice number This field is required.

Invoice date This field is required.

Amount including VAT This field is required.

Total claim: €

Collection charge: €

Total: €

Send Eén of meerdere velden ontbreken of zijn niet correct ingevuld.