Collection Agency. I understand and accept that if I fail to pay my student account xxxx or any monies due and owing MSU Denver by the scheduled due date, and fail to make acceptable payment arrangements to bring my account current, MSU Denver may refer my delinquent account to a collection agency. I further understand that I am responsible for paying the collection agency fees which may be based on a percentage at a maximum of 40% of my delinquent account, together with all costs and expenses, including reasonable attorney’s fees, necessary for the collection of my delinquent account. Additionally, as an agency of the State of Colorado, MSU Denver has the authority to intercept state income tax refunds or other funds due from the State of Colorado (vendor, lottery, gaming etc.) for debts owed to the state. Pursuant to Colorado Law (C.R.S. § 23-5-115), in the event of a default of my student account owed to the university, the university may certify to the Colorado Department of Revenue (DOR) information about me, including my name, social security number, the amount of the debt and any other identifying information required by the DOR. The DOR may then disburse funds to the university in satisfaction of that debt from tax refund or other amounts owed to me, if any. I understand that my delinquent account may be reported to one or more of the national credit bureaus.
Collection Agency. Any outstanding balance that is the responsibility of the patient or guarantor that is past due by 60 days may be forwarded to a collection agency. Patient and/or guarantor will be responsible for any costs incurred by the practice with the collection agency in addition to the balance due. FINANCIAL POLICY DISCLOSURE AND AGREEMENT (Will be kept on file in patient(s) chart) Patient name: Date of Birth: • initial. I acknowledge receipt and understanding of the financial policies of the Maryland Pediatric Group, L.L.C./Pediatric Consultants, P.A. listed in this agreement. • initial. I acknowledge that I have read a copy of this agreement. I have been offered a copy of this agreement. I acknowledge that if I do not take a physical copy of this agree that it is located on the website of the Maryland Pediatric Group, L.L.C. at xxx.xxxxx.xxx. • initial. I acknowledge the same responsibility for the siblings listed below of the above mentioned patient. Other children seen at this office: Name: Date of Birth: Name: Date of Birth: Name: Date of Birth: Signature of patient, parent, guarantor/legal guardian, insured and/or authorized representative:
Collection Agency. If DU’s internal collection efforts have failed to induce me to pay the amount due on my Student Account, my Student Account will be sent to a collection agency and may be reported to one or more credit bureau reporting service(s). I explicitly authorize DU to release my personal and financial information under those circumstances. If DU is required to retain a collection agency, then, to the extent permitted by applicable law, I agree to reimburse DU all reasonable collection costs, including but not limited to attorney fees and expenses incurred by DU. I also acknowledge that collection agency fees may be based on a percentage (up to the maximum of 40% of the collected balance) and that all such fees will be added to my Student Account.
Collection Agency. Any outstanding balance that is the responsibility of the patient or guarantor that is past due by 60 days may be forwarded to a collection agency. Patient and/or guarantor will be responsible for any costs incurred by the practice with the collection agency in addition to the balance due. REFUNDS: Overpayments will be refunded upon written request to the responsible party within 30 days.
Collection Agency. It is the policy of Xxxxxxxx’x Counseling Services, Inc., SC and Bayshore Billing Service to follow this procedure:
Collection Agency. If a collection agency identifies a patient meeting the charity care eligibility criteria, the patient account may be considered charity care, even if the account was originally classified as a bad debt. Collection agency patient accounts meeting charity care criteria should be returned to the Subsidiary’s billing office and reviewed for charity care eligibility.
Collection Agency. If Mines’ internal collection efforts have failed to induce me to pay the amount due on my Student Account, my Student Account will be sent to a collection agency and may be reported to one or more credit bureau reporting service(s). I explicitly authorize Mines to release my personal and financial information under those circumstances. If Mines refers my account to a collection agency, then, to the extent permitted by applicable law, I understand I am responsible for paying all the collection fees, including but not limited to attorney fees and expenses incurred by Mines. I also acknowledge that collection agency fees may be based on a percentage (up to the maximum of 40% of the collected balance). If my account is sent to Collections, then I pay the account in full at Collections and wish to return to Mines for a future semester, I understand that payment is due in full not later than the first day of classes for the term in which I am seeking to register. If I register after the first day of classes, I understand that payment is due in full on the date of enrollment. If payment is not received in full by the applicable deadlines set forth above, I will be withdrawn from all courses prior to Census Day and will be unable to attend Colorado School of Mines for that term, with no option to appeal for re-enrollment for that term.
Collection Agency. I understand and agree that if I fail to pay my student account bill or any monies due and owing to Regent by the scheduled due date, and fail to make acceptable payment arrangements to bring my account current, Regent may refer my delinquent account to a collection agency. I further understand that I am responsible for paying the collection agency fee which may be based on a percentage of my delinquent account, together with all costs and expenses, including reasonable attorney’s fees, necessary for the collection of my delinquent account. Finally, I understand that my delinquent account may be reported to one or more of the national credit bureaus. I grant my consent to Regent reporting any delinquency, default or other credit experience pertaining to this Financial Obligation Note to one or more credit reporting agencies of its selection, and my consent is intended to comply with the provisions of the Family Educational Rights and Privacy Act. • Law Governing. This Financial Obligation Note shall be construed and enforced in accordance with the laws of the Commonwealth of Virginia. COMMUNICATION
Collection Agency. If payment remains outstanding and communication efforts have failed, the account may be referred to a collection agency. Any costs associated with collections will be the responsibility of the member. Legal Action In cases of extreme delinquency, legal action may be considered, but it will be a last resort after all other efforts have been exhausted.
