Call Us Today: (631) 425-8800
PIASCThe partnership between PIASC and AG Adjustments offers PIASC Members access to an industry leader in commercial collections.
Single Placement Form

Single Placement Form

Individual claims can be submitted online using the form below or simply e-mail them to newclaims@agaltd.com. If you have any questions on claim submission please be sure to contact us at (631) 719-8028.

CREDITOR INFORMATION

City
State/Province
Zip/Postal
Country

DEBTOR INFORMATION

City
State/Province
Zip/Postal
Country

PLACEMENT DETAIL

DOCUMENTATION

Please submit any contracts, notes, returned checks, itemized statements or other papers that are needed. When necessary, you are authorized to forward this account, under bond, to a commercial attorney.

Drop a file here or click to upload Choose File
Maximum upload size: 10MB

You may attach up to 5 files to this submission.
Acceptable file formats include MS Word/Excel, Apple Pages/Numbers, PDF and Zip files.

AGA LTD

NO COLLECTION. NO FEE.

  • 25% of the first $3,000 collected. 20% of the remaining balance on claims less than 365 days from last sale.
  • 50% on second placements and claims over a year from last sale.
  • 33% on international claims.
  • 25% on legal claims.
  • 35% on litigated claims - a non-contingent suit fee may be required.
  • Large claims ($100k and over) can be negotiated on a claim by claim basis.

NEW TOOLS TO KEEP YOUR CASH FLOWING!

A.G. Adjustments (AGA) is providing the below documents for your convenience and for informational purposes. Please be aware that each U.S. state or territory has unique legal procedures and requirements. AGA does not guarantee the effectiveness (or legality) of each of these documents in every (or any) U.S. state or territory. AGA advises all creditors to be familiar with what document/contract types are considered legally binding for the states in which they do business, as well as what contract elements may or may not be permissible in each of those states.

Following you will find samples of collection letters and documents that will help you in collecting past due accounts. We suggest you follow the order as listed.