Collection Agency Claim Placement Instructions

Feel free to contact us at any time during our normal business hours should you have questions or require assistance placing collection claims. 1-866-497-1006

NOTE:Collection Placement forms sent to us will not be valid or entered into our system without a signed Client Agreement form on file and accompanied documentation showing proof of the claim.

Quick Instructions

  • Complete, print and sign the Client Agreement Form. You may type directly into the form fields then click “Print Form” at the bottom of the form page.
    Returning clients who already have a Client Agreement on file need only to print Collection Placement forms for each claim being placed unless your information has changed.
  • Complete and print a Collection Placement Form for each collection claim you want pursued. You may type directly into the form fields then click “Print Form” at the bottom of the form page.Be sure to attach proof of your claim, i.e. invoice, statement and/or contract. NOTE: you may also save a blank copy of this file to your computer for future claim placements.
  • Sign the Agreement and fax to 585-385-1074 or mail all forms and supporting documentation as soon as possible. Do not email documents. Email is subjected to third party viewing and privacy issues.
  • If you are a medical facility requiring a HIPAA Business Associate Agreement, you may print the HIPAA Third Party Business Associate Agreement Form, complete it and sign it then send it along with your Client Agreement and Collection Placement forms.

**NOTE: The Collection Placement Form is in Microsoft WORD “.doc” format. If you do not have WORD installed or you are a MAC user, you may download the free WORD Viewer software from Microsoft here. This will allow you to work with and print WORD documents on your machine.

Viewing and typing onto forms requires Adobe Acrobat or Adobe Reader Version 8 or higher. A FREE DOWNLOAD is available here at the Adobe download website for your convenience. If you are experiencing difficulties opening these files, contact us at 1-866-497-1006 and we will fax the forms to you instead. Windows Vista users have experienced problems using Adobe Reader download however Adobe is addressing this issue.

Once a collection claim is placed with Your Collection Solution, LLC it is imperative that you or your staff cease all communications with the debtor. You are required to report to our office any and all payments made to you directly. This requirement avoids unnecessary collection calls to the debtor as stated in the Fair Debt Collection Practices Act. Should you receive communication from the debtor,simply instruct them to contact our office directly. Feel free to contact YCS if you have any questions. 1-866-497-1006

NOTE: Collection Placement forms sent to us will not be valid or worked without a signed Client Agreement form on file and accompanied documentation showing proof of the claim.

Returning clients who already have a Client Agreement on file need only to print Collection Placement forms for each claim being placed, then fax or mail them to our office.

If you need further assistance in any way, call our agency office and we will be happy to guide you or send you the required forms. 1-866-497-1006

Detailed Instructions

  • Click on and complete the Client Agreement Form. You may type directly into the form fields then click “Print Form” at the bottom of the form page. If you’ve placed accounts with YCS before, we already have your Client Agreement on file. However, you are required to complete a new Client Agreement Form if any of your contact information has changed. NOTE: Viewing and typing onto forms requires Adobe Reader Version 8 or higher. A free download update is available at their web site here or simply call our office and we will fax or mail the forms at your option.

    “YCS provides excellent service in every way. I recommend them to any business owner who is in need of a collection agency.”

    Bridget Shumway, Generations Child Care Inc., Rochester NY

  • If you are in the medical field and the HIPAA Privacy Rule applies to your organization, then you are known as a Covered Entity or “CE” under the Privacy Rule. We have provided a HIPAA Third Party Business Associate Agreement form for your convenience.
  • Click on, print and complete the Collection Placement Form. NOTE: Viewing and typing onto forms requires Adobe Reader Version 8 or higher. A free download update is available at their web site here or simply call our office and we will fax or mail the forms at your option.
  • Fax or mail your completed forms to our office with copies of your invoices, work orders, statements, rental applications, judgment, leases, etc. Please provide us with any personal information that you have about your debtor. Use our Collection Placement Form as a guide line or make copies of the form and include it as a cover for each account.

Once a collection claim is placed with Your Collection Solution, LLC it is imperative you or your staff cease all communications with the debtor. You are required to report to our office any and all payments made to you directly. This requirement avoids unnecessary collection calls to the debtor as stated in the Fair Debt Collection Practices Act. Should you receive communication from the debtor, simply instruct them to contact our office directly. Feel free to contact YCS if you have any questions.

NOTE: Collection Placement forms sent to us will not be valid or entered into our system without a signed Client Agreement form on file and accompanied documentation showing proof of the claim.

Returning clients who already have a Client Agreement on file need only to print Collection Placement forms for each claim being placed, then fax or mail them to our office.

If you need further assistance in any way, call our agency office and we will be happy to guide you or send you the required forms. 1-866-497-1006

Hours of operation:

Monday – Friday 9am-5:00pm, Saturday 9am-12:00pm, Eastern Standard Time

In NY or NJ call toll free 1-866-497-1006. In Rochester NY area dial 585-385-1046
(Fax) 1-585-385-1074

Your Collection Solution, LLC
P.O. Box 25201
Rochester, NY 14625