Debt Lawsuit Support Intake Form

Please Complete This Form so Process Can Begin!

Full Name (as shown on Lawsuit) *

Phone *

Email *

Address *

Street Address

City

State

Country

Postal Code

State Where You were Sued? *

Court Name (ex: Allegheny County Court of Common Pleas) *

Court Location (city, county & State) *

Plaintiff name (who is suing you?) Ex: Midland credit management *

Date You were served (or approximate date) *

How were you served? (select one) *

Upload your summons & complaint as one document (required - file upload) *

PDF/JPG/PNG

Please upload clear, complete copies. We cannot begin work without these documents.

Type of Debt (if known) *

Approximate amount they claim you owe *

Have you already filed any response in this case *

Have you ever disputed this debt before? *

Have you spoken with an attorney about this case? *

Are you currently working with any other company for this lawsuit? *

Required Acknowledgement - Check all *

I understand Bizstart Group Inc. is not a law firm

I understand Bizstart Group Inc. does not provide legal advice

I understand I am responsible for my court deadlines

I understand Bizstart Group inc. provides education and document completion support only

I agree to complete all required steps before services begin

I agree to receive calls, texts, and emails from Bizstart Group inc. regarding my request for support.

Electronic Signature (sign with finger or use mouse) *

Your name

today is ex:01/12/2026 *