Request for E-mail Correspondence

Please provide the following information to allow our office to correspond by e-mail.

You may also give us permission by phone. Contact an Account Representative at: 605-343-1311 for details. This page is secured for your protection.

Payment Processing Center

Express Collections
P.O. Box 9307
Rapid City, SD 57709

Our File Number (If Known)

Full Name on File(Required)

First Last

Listed Individual or Not Checkbox(Required)

If you are the individual listed above, check here.

If you are NOT the individual listed above, check here.

Full Name and relationship to above individual.(Required)

Mailing Address(Required)

Street Address City State ZIP Code

Phone (Optional)

Email Address(Required)

For security purposes, Express Collections will not send e-mail correspondence to an e-mail address that appears to be from an employers domain.

Last four of Social Security Number or

Date of Birth

34168

IMPORTANT NOTICE

If you have received a collection notice and are not sure what the bill is for or why the amount is due, you can request additional documentation from our office.

We will do our best to provide copies of contracts, service agreements, or invoices from the original creditor. Although this information may be readily available, some documentation may take up to 30 days to receive. Please provide us with a current address and contact information in case we need clarification on your request.