Contact | Darnel, Inc

Are you a previous client of ours?*
- Yes
- No
- Unsure
How did you hear about us?*
Who referred you?*
Will this be the first time the accounts have been placed with a collection agency?*
- Yes
- No
Are the accounts currently with an agency?*
- Yes
- No
Will the agency send the accounts to us as second placements?*
- Yes, they will collect them for a time and send the rest to you.
- No, we will withdraw the accounts from them and send them to you.

Contact Information
Legal Business Name*
This name should be the name registered with the Corporations Division.
Website*
Address*
Street Address Address Line 2 City State ZIP Code
Primary Contact*
Prefix First Last
Primary Contact Phone*
Primary Contact Fax
Primary Contact Email*

Legal Stuff
Business Class*
Tax ID or Corporations Control #*
Registered Agent Name*
Prefix First Last
Active Business License?*
- Yes
- No
Is the business dissolved?*
- Yes
- No
In what State is the business registered?*
In what county does the business operate?*

Service Related Information
Can you provide a sample of your consumer agreement? This would include intake forms, applications, invoices, work orders, etc. It is the binding document between you and the consumer.*
Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 10 MB, Max. files: 4.
Do you use duplicate account numbers?*
- Yes
- No
- Not Sure
If the consumer re-establishes services with you, will you use the same internal account number to identify the consumer, or will you generate a new account number for the new service?
Can you validate the account with a signature from the responsible party?*
- Yes
- No
Does the consumer sign any agreement that you can validate the account if disputed by the consumer? Do you generate invoices? If the agreement establishing the account is verbal, select "NO."
Do you require the consumer to pay a past-due balance before receiving new services?*
- Yes
- No
Many companies we work with require past-due balances to be reconciled before allowing the consumer to receive further service with their organization. We encourage this practice.
Optional Services for Collections
- Authority to Settle? You give us authority to settle on amount due, with a maximum settlement amount on the principle balance.
- Lawsuit and/or Garnishment? We will not file a lawsuit on any account except with your express written consent.
These services are explicitly denied for pre charge-off accounts. They are only available for the collection process.
Maximum Settlement Percentage
Please enter a number from 1 to 99.
For example, on a $100 balance, if you choose a maximum 20% settlement option, we would potentially offer a maximum of an $80 payout to settle the account.

Billing / Account Cycle Details
What is your billing/account statment cycle?*
Your billing cycle would be the maximum days which you keep the account before writing it off to collections.
Number of Notices Sent*
How many notices do you send to the consumer during your billing/statement cycle before writing the account off to collections?
Types of Notices Sent*
- Select All
- Text
- Email
- Snail Mail

Portfolio Details
Give us a brief explanation of the accounts.*
The explanation of the account would include the services received that created the debt (i.e. overdraft checking purchased and fees, surgery, past due water/sewer/gas bill).
How do you store your account records?*
Example: Excel file, QuickBooks, Epic, TylerTech, file cabinet, etc.
12 Mo Average Account Volume per Month for Pre Charge Off Contact*
This is the average number of accounts that are sitting in a pre charge-off status in your billing cycle that you desire for us to contact before they move to the collection process.
Number of Accounts to Send to Collections*
Total Balance of Accounts to Send to Collections*
Where do your consumers primarily reside?*
Various states contain specific consumer protection and collection laws that govern our practices. If consumers reside in multiple states, please choose the Multiple States option.
How often do you anticipate submitting accounts?*
Age of Oldest Account (Year)*
What information do you obtain from the consumer? Check all that apply.*
- Select All
- Email Address
- Cell Phone
- Social Security Number or TIN
- Date of Birth
- Mailing Address
- Employment Information
- Co-Signer Information (if any)
- References

Account Delivery
How will you send accounts to us?*
- System File Export (.xlsx, .xls, .csv, .txt)
- Darnel Secure Web Form
We do not accept the submission of accounts via email, fax, or snail mail. If you do not have the ability to export data directly from your system, please choose the Darnel Secure Web Form option.
See this article for an explanation of our Secure Web Form option.
Sample File (Optional But Helps)
Drop files here or

Accepted file types: xlsx, xls, csv, txt, Max. file size: 10 MB, Max. files: 1.
If you can, please provide a sample file from your system (no live collection data please) for testing purposes. This will greatly speed up the onboarding process.
File Schematic (Optional But Helps)
Drop files here or

Accepted file types: doc, docx, xls, xlsx, pdf, Max. file size: 10 MB, Max. files: 1.
If you have a detailed description of file contents, please provide that here. It will help us correctly interpret the file and program your contents accurately.

Contact Us

Step 1 of 8

Contact Information

Legal Stuff

Type of Project

Service Related Information

Billing / Account Cycle Details

Portfolio Details

Account Delivery

Schedule a Discovery Call