Debt Recovery Request Form for clubs

Created*

please enter today's date.

Applicants full name*

This is your name as the alleged creditor.

Your FAN number*

This is your personal Football Association number or previously known as NPD number.

Best Contact Number*

We may need to contact you about your application so please let us know your best contact phone number.

Your Email address*

Please indicate your preferred email address to contact you.

Your current club posistion*

what is your main role within the club you are representing making this application.

Club Name (as affiliated)*

Please confirm the full club name that you affiliated as.

Club Affiliation number

If known please confirm your current club affiliation number.

Name of alleged Debtor*

Please give us the full name including any middle names of the person that owes you the debt.

Roles they held within your Club*

please confirm any roles they held within the club even if that was just a player.

Alleged debtors FAN number if known

Last known address of alleged debtor*

please indicate the last known address including postcode of the alleged debtor, if there is more than one address please also put these in, with the most recent at the top.

Date of Birth of alleged debtor*

Phone Numbers of alleged debtor

Email address of alleged debtor

Known clubs of alleged debtor

Please indicate any other clubs besides yours that the alleged debtor has been currently associated with or is now.

Known leagues of alleged debtor*

Please indicate the league that the alleged debtor played for with your club.

Debt 1 type*

Using the drop down menu please confirm what type of debt this relates to, if there is more than one type you will get the option to add these in the next stage.

Description of debt*

Please give as much description as possible as to the debt you are trying to recover this should include case numbers if it is a discipline debt. If the debt has been part paid by the debtor please also indicate this.

Date of debt owing*

We need to know the date when the debt was first owing.

Dates and correspondence description*

In order to qualify for debt recovery as the alleged creditor you must have made reasonable attempts to recover the debt, please indicate the dates and type of correspondence you have had with the debtor to recover this to date. You will need to attach any evidence of this at the end of the form. e.g. text message sent on 1st July 2019 - no response

Amount Owed*

please state the total amount still outstanding excluding any part payments that may have been made.

Debt 2 type

Using the drop down menu please confirm what type of debt this relates to, if there is more than one type you will get the option to add these in the next stage.

Description of debt (2)

Please give as much description as possible as to the debt you are trying to recover this should include case numbers if it is a discipline debt. If the debt has been part paid by the debtor please also indicate this.

Date of debt owing (2)

We need to know the date when the debt was first owing.

Dates and correspondence description (2)

In order to qualify for debt recovery as the alleged creditor you must have made reasonable attempts to recover the debt, please indicate the dates and type of correspondence you have had with the debtor to recover this to date. You will need to attach any evidence of this at the end of the form. e.g. text message sent on 1st July 2019 - no response

Amount Owed (2)

please state the total amount still outstanding excluding any part payments that may have been made.

Debt 3 type

Using the drop down menu please confirm what type of debt this relates to, if there is more than one type you will get the option to add these in the next stage.

Description of debt (3)

Please give as much description as possible as to the debt you are trying to recover this should include case numbers if it is a discipline debt. If the debt has been part paid by the debtor please also indicate this.

Date of date owing (3)

We need to know the date when the debt was first owing.

Dates and correspondence description (3)

In order to qualify for debt recovery as the alleged creditor you must have made reasonable attempts to recover the debt, please indicate the dates and type of correspondence you have had with the debtor to recover this to date. You will need to attach any evidence of this at the end of the form. e.g. text message sent on 1st July 2019 - no response

Amount Owed (3)

please state the total amount still outstanding excluding any part payments that may have been made.

Debt 4 type

Using the drop down menu please confirm what type of debt this relates to, if there is more than one type you will get the option to add these in the next stage.

Description of debt (4)

Please give as much description as possible as to the debt you are trying to recover this should include case numbers if it is a discipline debt. If the debt has been part paid by the debtor please also indicate this.

Date of debt owing (4)

We need to know the date when the debt was first owing.

Dates and correspondence description (4)

In order to qualify for debt recovery as the alleged creditor you must have made reasonable attempts to recover the debt, please indicate the dates and type of correspondence you have had with the debtor to recover this to date. You will need to attach any evidence of this at the end of the form. e.g. text message sent on 1st July 2019 - no response

Amount Owed (4)

please state the total amount still outstanding excluding any part payments that may have been made.

Total Debt request

Please can the total amount of ALL the debts you are recovering excluding any that are part paid.

Paid to date

Please confirm the total amount of money that you have received from the alleged debtor to date in relation to the above debts.

Payment Method for £25 Administration Fee*

If your application is successful, you will be required to pay an administration fee of £25, please indicate how you would prefer to pay this. We will add this to the total debt of the participant and on receipt of the payment we will return this along with the debt owed.

Select

File Attachments*

You will need to attach all the evidence of the attempts you have made to recovery this debt to date so far.

Drag and drop files here or

Send me a copy of my responses