Debt Harassment Checklist Fill out the form below and we will email you a free template that you can send to debt collectors to stop them from contacting you.Name First Last Email* Phone*Please review this list and check all that apply. If you are being subjected to any of the following by a debt collector you may have a case under the Fair Debt Collection Practices Act or other consumer protection statutes:Have you received collection letters within the past 12 months?*(if so, please save the letters & let us know if any were received within the last 30 days)YesNoAre they leaving you voicemails or sending you e-mails or text messages*(if so, please save the messages)YesNoAre they using threatening or profane language?*YesNoAre you receiving multiple calls per day from the same creditor/collector?*YesNoAre they calling after you have asked them to stop?*YesNoAre you receiving calls before 8 a.m. or after 9 p.m.?*YesNoAre they calling after you have disputed the debt?*(or a portion of the debt)YesNoAre you receiving calls at your workplace?*(especially after you've already told them not to)YesNoAre they threatening to sue you or destroy your credit?*YesNoAre they talking to others about your debt?*YesNoAre they telling you the only way to get collection calls to stop is to make a payment?*YesNoAre they leaving messages with others to get you to call them back?*YesNoDid they fail to send you a letter within 5 days of the first phone call?*YesNoAre they calling about a debt you don't owe or have already paid?*YesNoAre they calling about a debt which is on a payment plan?*YesNoAre they demanding payment for incorrect balance?*YesNoAre they referring to your debt as a crime or shaming you?*YesNoAre they failing to notify you of your right to dispute the debt?*YesNoAre they setting up recurring payments out of your checking account or using your debit card?*(not credit card)YesNoAdditional Details:Sturycz Law Group provides a free evaluation of your case(s). If we recommend filing a lawsuit we will fight to win you compensation under the Fair Debt Collection Practices Act or other consumer protection laws at no cost to you. If you have any questions about this form, call us at (877) 314-3223*By clicking "submit", I acknowledge that I have read and understand the Legal Disclaimer. * I understand This iframe contains the logic required to handle AJAX powered Gravity Forms.