VERIFY A PAYMENT
Have you paid this bill already?

RECORD A BANKRUPTCY
You must have the case#, filing date, attorney name and phone number.

RECORD A DISPUTE
You have 30 days to report your dispute and receive proof

HELP US TO HELP YOU


First Revenue Assurance
P.O. Box 5818
Denver, CO 80217
(303)-595-4400
 
 
Record a Bankruptcy

* In order to protect individual right to privacy no form will be processed unless completed fully.
 
Account Number*
 
Last Name* First Name* Middle Initial
 
 
Street City/State Zip Code
 
Daytime Phone* Evening Phone* Best time to call*
If this debt was included in a bankruptcy filing, we will stop contacting you immediately.
You must provide the following information. If you do not have case no please provide your attorney's name and phone number
 
Filing date* Case number* Chapter*
/ /
     
Court Location* Attorney Atty Phone Number
     

* In order to protect individual right to privacy no form will be processed unless completed fully.

 
Thank You! This Information will be verified with the court.!
 
                                                          

This is an attempt to collect a debt.  Any information obtained will be used for this purpose.