LBA to Writ Instruction Form - Court Enforcement Services

Have the Invoice information and any other relevant documents ready to hand
If you scan electronically the documents beforehand you can upload the copies when prompted – it can save you time and money
At the end of the form you will need to agree to the Terms & Conditions and Electronic Signature
Once the form has successfully been submitted you will receive an email copy of this form

Call us on 0343 504 1606 or email commercialservices@courtenforcementservices.co.uk if you need assistance at any stage.

Client Contact Information

Client Name(Required)

Legal Entity Confirmation(Required)

(e.g. Limited, PLC, sole trader)

Company Registration Number(Required)

(if applicable)

Registered VAT Number(Required)

(if Applicable)

Correspondence Address(Required)

Street Address Address Line 2 City County Postcode

Contact Name(Required)

(overall responsibility)

Job Title(Required)

Email Address(Required)

Telephone Number(Required)

Email Address for correspondence

(if different from above)

Claimants Contact Information

(if different to the above)

Claimants Name(Required)

Legal Entity Confirmation(Required)

(e.g. Limited, PLC, sole trader)

Company Registration Number(Required)

(if applicable)

Registered VAT Number(Required)

(if Applicable)

Correspondence Address(Required)

Street Address Address Line 2 City County Postcode

Payment Requirements

BACS Payment?(Required)

Yes

Account Name(Required)

Account Number(Required)

Sort Code(Required)

Debtors Information

Debtors Name(Required)

Legal Entity Confirmation(Required)

(e.g. Limited, PLC, sole trader) if applicable

Supply address(Required)

Street Address Address Line 2 City County Postcode

Debtors Email Address

Debtors contact Number

Billing Address

Same as previous?

Yes

Billing address(Required)

Street Address Address Line 2 City County Postcode

Details of debt amount

Debt Amount(Required)

Other Amounts(Required)

VAT Amount(Required)

Total Debt Amount(Required)

Invoice or Arrears apply from date(Required)

Invoice or Arrears apply to date(Required)

The debtor has had sight of Contract which includes the T&Cs(Required)

Yes

Any further Information / Special Requirements(Required)

Supporting Documents Upload

Accepted file types: pdf, doc, docx, jpg, gif, png, Max. file size: 10 MB.

Use this section to upload any required supporting documents.

For example, a copy of the Statement of Arrears, Invoices and Contract agreement if available, plus Additional Supportive Information. We can accept files in .pdf, .doc, .docx, .jpg, .gif or .png format. You can load up to 5 files together with a total file size of up to 10MB.

Please note that large files may take a long time to upload, so please be patient and only click the 'Submit' button at the end of this form once and wait for the system to confirm the form has been uploaded.

Terms and Conditions:

To exercise Court Enforcement Services Limited Letter Before Action to Writ process for the Recovery of unpaid invoices or arrears as the Law directs.

This shall be your sufficient authority and indemnification against all actions at Law, as well as against all costs, charges or expenses which you may incur or be liable to pay by reason of your executing this enforcement, in accordance with our published fee schedule and any other expenses in instructing third parties. Our Service Level Agreement and fee scale have been published to you separately.

We acknowledge that should a case fail after enforcement, we will be responsible for the court fees and associated costs incurred at the issue of the claim.

NB: Late payment charges will be applied to all our overdue invoices in accordance with the Late Payment of Commercial Debts (Interest) Act 1998 (As Amended).

CONSENT AND NOTICE REGARDING ELECTRONIC INSTRUCTIONS TO COURT ENFORCEMENT SERVICES.

Electronic Signature Agreement.

By submitting these instructions to Court Enforcement Services Limited you are signing this document electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement.

By submitting this instruction document you consent to Court Enforcement Services Limited acting as Certificated Enforcement Agents on your behalf.

You further agree that your use of a keypad, mouse or other device to select an item, button, icon or similar act/action, or to otherwise provide Court Enforcement Services Limited with instructions via our client web portal or online instructions constitutes your signature (hereafter referred to as "E-Signature"), acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or other third-party verification is necessary to validate your E-Signature and that the lack of such certification or third-party verification will not in any way affect the enforceability of your E-Signature or any resulting contract between you and Court Enforcement Services Limited.

You also represent that you are authorised to provide these instructions on behalf of the creditor and will be bound by the terms of this Agreement. You further agree that each use of your E-Signature in instructing Court Enforcement Services Limited constitutes your agreement to be bound by the terms and conditions of the authorisation to act as enforcement agent of Court Enforcement Services Limited as they exist on the date of your E-Signature.

I agree to these Terms and Conditions:(Required)

Agree

Company Representative:(Required)

Signature:(Required)

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LBA to Writ Instruction Form.

Client Contact Information

Claimants Contact Information

Payment Requirements

Debtors Information

Billing Address

Details of debt amount

Terms and Conditions: