Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 2To instruct us to act on your behalf, please complete this form and include the reason for the debt. Please also include supporting information regarding your debtor that may be helpful for us to know.We look forward to being of service to you.Adam Heighway, CEONextAbout The DebtHas any legal action been taken yet, regarding this debt *YesNoIs the debt value £5000 or more? *YesNoPlease continue to the application form by clicking next below.Thank you for your interest in our debt collection service. Unfortunately, the minimum debt amount is £5000.Are you happy with the legal representation you are receiving? *YesNoPlease get in touch if this changes.We have a network of outstanding legal representatives across the UK who would be happy to discuss your case.Would you like us to recommend legal support? *YesNoWe wish you every success with recovering your debt.Thank you for contacting The Diary of a Debt Collector.Name *FirstLastEmail *Phone *Please state below what legal action you have taken *Please attach a copy of the County Court Judgement (CCJ), if you have one Click or drag files to this area to upload.You can upload up to 3 files. Acceptable formats include .pdf, .jpg, .jpeg, .pngSubmit