Services from our parent company
Diversified Credit Services Inc.

Place Collection Accounts

You may use the form below to submit account(s) to us online 24 hours a day. In order to start working on your account(s), we must have a signed service agreement from you. You can fax the signed Service Agreement to (781) 376-0679. Download a printable version fof the HCA Service Agreement.

If you prefer, you can mail it to us at: 304 Cambridge Rd., Suite 201, Woburn, MA 01801. You also have the option of emailing your account information via a database file, such as Excel, to paulg@highland-collection.com. If you have questions, please call us at (888) 893-8988 to discuss your situation.

For the form below required information is marked with *

Your Debtor Information

Required fields marked by *

Debtor Company Name:*

Debtor Contact Name:*

Contact Title:*

Address:*

City:*

State:*

Zip Code:*

Telephone:*

Fax #:

Email:

Website:

Customer Number:

Balance Due:*

Invoice Numbers:

Your Company Information:

Your Company Name:*

Your Name:*

Your Title:*

Your Street Address*

Your City:*

Your State:*

Your Zip Code:*

Your Company Phone #:*

Your Fax #:

Your Email:*

Your Website:

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