Claims: Minimum $10,000
Your Name* (required)
Your Email* (required)
Contact Number*
How Much Debt Are You Owed?* (required) Under $10,000$10,000 - $50,000$50,000 - $100,000$100,000+
Is your debt construction-related?* (required) YesNo
Is your debt from within the last 12 months?* (required) YesNo
Your Company/Business Name*
What Date Did You Actually Finish The Work?*
Who Owes You The Money?* SelectHead ContractorDeveloperSub ContractorBuilderIndividual
How Would You Describe Your Agreement With The Non-paying Party?* SelectWritten and signed contractI supplied a written quote that was verbally acceptedYou got a customer purchase orderCompletely verbal agreementNo real agreement, price not discussed until the endOther
In Which State Was The Work Done?* (Queensland Currently Suspended) Select StateACTNSWSouth AustraliaTasmaniaVictoriaWestern Australia
What Kind Of Work Did You Do?*
How did you hear about Contractors Debt Recovery?* Online Search (Google etc)TV AdNewspaper AdTrade AssociationA FriendUsed you beforeOther
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