Load Tenancy Debt


Load Tenancy Debt

Fields marked * are mandatory fields

YOUR DETAILS

Company Name
Trading As
First Name*
Last Name*
Address*
Email*
Phone
Mobile*
Bank Account Number* illion Tenancy
 -    -    -     
Your Reference illion Tenancy
Email for Statements*
illion Tenancy or NZPIF Member Number illion Tenancy


 

DEBTOR DETAILS

First Name*
Last Name*
Middle Name(s) 
Gender*
Date of Birth illion Tenancy
Email
Phone #1
Phone #2  
Debtor's Current Address 
Occupation 
Employer
Employer's Phone
Employer's Email
On WINZ Benefit?illion Tenancy
WINZ Number illion Tenancy
Debtor's Previous Address(es)
(and)
Other details that may help with collecting the debt?

Upload Photo of Debtor

DEBTOR 2 DETAILS

First Name*
Last Name*
Middle Name(s) 
Gender*
Date of Birth illion Tenancy
Email
Phone #1
Phone #2  
Debtor's Current Address 
Occupation 
Employer
Employer's Phone
Employer's Email
On WINZ Benefit?illion Tenancy
WINZ Number illion Tenancy
Debtor's Previous Address(es)
(and)
Other details that may help with collecting the debt?

Upload Photo of Debtor

DEBTOR 3 DETAILS

First Name*
Last Name*
Middle Name(s) 
Gender*
Date of Birth illion Tenancy
Email
Phone #1
Phone #2  
Debtor's Current Address 
Occupation 
Employer
Employer's Phone
Employer's Email
On WINZ Benefit?illion Tenancy
WINZ Number illion Tenancy
Debtor's Previous Address(es)
(and)
Other details that may help with collecting the debt?

Upload Photo of Debtor



 

DEBT DETAILS

Tribunal Order Amount $* 
Amount Already Paid By Debtor $*
Amount Owing $*
Tenancy Tribunal At
  
Tenancy Address*
Tribunal Order Number*
Tribunal Order Date*
Upload Copy of Tribunal Order
Upload Other Supporting Document
Previous Civil Enforcement Proceedings*  

Court policy requires you to confirm CIA Debt Recovery will be your debt collection agent acting on your behalf.

Download and sign this Authorisation to Act on Behalf form*  


Upload your signed Authorisation to Act on Behalf form*

Please chose your debt collection Pricing Option*
  View Pricing Options

I have read and understood CIA Debt Recovery's full Terms of Engagement*  

By accepting these terms, you agree to authorise CIA Debt Recovery Ltd to act as your agent in the above matters and agree to make payment of all charges and costs in accordance with the Terms of Engagement.

You agree to not proceed to legal action, nor take independent action by another means through an agency or, on your own accord, against this debtor without first consulting CIA Debt Recovery Ltd. 

If you do take independent action or/and if any monies are paid to you or your agent, by the debtor, CIA Debt Recovery Ltd will invoice you for the full commission that relates to the option you have chosen above and any subsequent enforcement costs.


How did you hear about us?

If you have trouble with this online form you can download the PDF form here and send the completed form to admin@cia.nz