Whether or not Centennial Law Offices represents you in any matter, the information you submit on this form is completely confidential and will not be shared with anyone without your written permission. It is protected by the attorney-client privilege and cannot be obtained by anyone.

The steps to obtaining relief and possible compensation from debt collection violations are quick and simple:

1.) Submit a report (below).

2.) The report will be reviewed by an attorney within 24hrs, 7-days week. If it is determined that the debt collection company acted unlawfully, you will be notified and receive a representation agreement.

3.) Once you have agreed to representation (you may do so immediately by email), we will act very quickly to stop the harassing calls or other violation(s). We will then take action to recover for you (up to $1,000 plus any actual damages) from the offending collection company. You may recover $1,000 under federal law regardless whether you owe debt or not.Our legal fees are recovered from the violating debt collector and are not subtracted from the up to $1,000 you may obtain under the law. You will pay no out-of-pocket charges for getting help. You only stand to recover up to $1,000 or not. In no event will you be charged anything for debt collection violation/harassment representation.

If you have any questions about submitting this form or obtaining representation, call (888)504-8817 or email us at Emails received during business hours are usually responded to within 3-hours.

Report Debt Collection Violations:

Mandatory fields are marked*

Confirm email address:*
Complete this section if you are reporting excessive or harassing phone calls and then please continue to provide details in the large text box below.
Approx. date when the calls began:
Approx. number of calls received in total:
Please describe in detail the wrongful activity you believe the collection company is engaged in. The more detail you can provide, the more we can assist you. If your report involves harassing telephone calls, please note any effort made on your part to stop the calls (although it is not your obligation to make such an effort):*
Do you actually owe the debt the collection company is contacting you about?*