Email Authorization Form

If you prefer to speak with someone immediately, please call our toll-free number at 866-765-3310. Office hours are 8am – 5pm Monday – Friday EST. This box is not monitored. If you need to discuss your account in detail, please call our office and speak with a representative. If you have questions please call 866-765-3310.

An Important Note Regarding Collection-Related Inquiries:

If you choose to communicate via email, please remember that no matter how many measures we take to ensure the confidentiality of your email, the Internet may be a non-secure medium for communication. If you choose to communicate your collection-related inquiry via Email/SMS/Texting, we cannot be responsible for any possible disclosure of an account to a third party.

By completing the form below and submitting this information, I consent to communication regarding my inquiry and authorize you to contact me using the contact information I have provided.*
- I Agree
Name*
ACCESS ID #*
Current Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Best phone number to call*
Is the above phone number your cell phone?*
- Yes
- No
Email*
Current employer
Current employer phone number
SMS/Texting OPT IN/OUT
By checking the box “OPT IN”, I agree to receive recurring messages from ACCESS RECEIVABLES MANAGEMENT to the provided mobile number and also agree to ACCESS RECEIVABLES MANAGEMENT’S Terms & Conditions and Privacy Policy. Message and data rates may apply. By checking the “OPT OUT” box, you will be opted out of receiving SMS/Text messages.
OPT in/out*
- OPT In
- OPT Out
How may we help you?*
Upload File
Max. file size: 6 MB.
If you need to upload a file it must be a JPEG or PDF and less than 6 MB in size
Phone
This field is for validation purposes and should be left unchanged.

Make Payment

Learn more about improving your consumer credit and Financial Literacy at whycreditmatters.net

Learn More

Know My Debt:
Explaining Consumer Rights and Navigating Debt Solutions

The laws and regulations related to debt and credit that protect consumers.
How to work with a debt collector on delinquent debts, including specific explanations for student loan debt.
Answers to common questions about credit reporting and credit scores.

https://www.knowmydebt.com

Learn More

For residents of CA, CO, MA, MN, NY, NC, TN & WI, please click the link below for state disclosures.

State Disclosures

Terms & Conditions

Mail Payments to:
PO Box 1377 Cockeysville, MD 21030-6377