Build Your Medical Debt

Collection Case With Us

Build Your Medical Debt Collection Case With Us

Medical Debt Letter Generator

This will take 15 mins to finish.

This letter builder is best used on a desktop. This builder will help gather information for both your letter and your claim.

Where did this debt come from?

Was it from a medical situation? *

Your Personal Information

First Name *

Last Name *

Last 4 of SSN *

Date of birth *

Your Contact Information

Email Address *

Phone Number *

Mailing Address *

Your City *

Your State *

Zip Code *

What are your financial goals?

Your Financial Goals *

In a brief paragraph, please describe what you wish to achieve financially in the next few years. This for your letter.

How is this debt stopping you?

How is this debt stopping your from reaching your goals? *

How has this debt affected you? Have you been denied for anything recently? Are you afraid of applying for anything? Has this debt affected your sleep, relationships, employment, etc. This is for your potential case.

What's the name of the debt collector?

Debt Collector Full Name *

Please do not abbreviate the debt collector's name. Please provide the full name of the debt collector. If you cannot tell by the credit report. You can simply open up a new tab, google the name given on the credit report to find out it's full name. It is important to provide the full name for the letter we will create for you at the end of this survey. Thank you.

Don’t Have Your Credit Report? Get It Here For Free

Debt Collector Information

Debt Collector City *

Debt Collector Address *

Debt Collector State *

Debt Collector Zip Code *

This information is on your credit report. Sometimes it is at the bottom of the report. It also can be at the bottom of the account.

Upload A Screenshot Of

Your Collection From Your Credit Report

Screenshot Of Collection Account From Your Credit Report *

Please do not submit your entire credit report

Don’t Have Your Credit Report? Get It Here For Free

DISCLAIMER: Please note if we need the debt collector's name, address, and original creditor, alongside of the rest of the account information reporting. If you cannot put it in one screenshot please upload another. You may also upload a debt collector's letter as long as it is visible. If we do not have all of the information this submission will be rejected upon a manual review.

Your Collection Account Info

Account Number *

Who is the Original Creditor? *

What Are Your Work Hours?

Which work hours best matches your schedule? *

I agree to terms & conditions provided by the Penn Equity Group. By providing my phone number, I agree to receive text messages from the Penn Equity Group. I understand I can opt out at any time via email by unsubscribing or replying STOP to any SMS

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By providing your information you agree to allow PENN EQUITY GROUP LLC to contact you via e-mail, text and/or phone call. You grant this permission even if on Do Not Call Registry. Message and data rates may apply. Message frequency varies. Reply STOP to stop, HELP for help. You also agree to the Company's Terms of Service and Privacy Policy .

This site is not a part of the Facebook website or Facebook Inc. Additionally, this site is not endorsed by Facebook in any way. FACEBOOK is a trademark of FACEBOOK, Inc.

By providing your information you agree to allow PENN EQUITY GROUP LLC to contact you via e-mail, text and/or phone call. You grant this permission even if on Do Not Call Registry. Message and data rates may apply. Message frequency varies. Reply STOP to stop, HELP for help. You also agree to the Company's Terms of Service and Privacy Policy .

This site is not a part of the Facebook website or Facebook Inc. Additionally, this site is not endorsed by Facebook in any way. FACEBOOK is a trademark of FACEBOOK, Inc.