Client Service Agreement

This Debt Recovery Services Agreement is made between Bluechip Collections Pty Ltd and the Client named in item 1 and commences on the date of submissions of this agreement. The parties enter into this Agreement after having read and understood the Terms and Conditions overleaf.

Bluechip Collections Pty Ltd agrees to provide debt recovery services to the Client, and the Client agrees to retain Bluechip Collections Pty Ltd, upon the basis set out in this Agreement, comprising this Schedule, the Terms and Conditions and Annexure (if any).

If you are an existing client, please visit the Contact Us page for further assistance.

Prefer to speak with someone first?
If you would like more information or need assistance before completing the agreement, fill out the Contact Us form. Our Client Acquisitions Executive will reach out to provide all the details you need before proceeding with the agreement. If you are ready to move forward, simply complete the form below.

1. Client

Please fill in your business details.

Registered Name *

Trading Name *

ABN *

ACN

Registered Address *

Trading Address *

Website

Industry *

Company/Business Phone *

Company/Business Email *

2. Contact Information

Please provide the contact information we will use when we need to communicate with you directly.

Contact Name *

Title *

Address

Street Address *

City

State

Country

Postal code

Phone *

Email *

Verification required. Please check your inbox and junk/spam folder.

How Did You Hear About Us? *

3. Debt Information

Note: We Are Unable to Proceed If

The debt is related to residential rental agreements.
The debt was incurred outside of Australia.
The debt arises from private loan agreements.
The debt is older than six years (as per typical limitation periods across most of Australia).
The debt has already been referred to another collections agency, even if they are no longer engaged.

If the debts do not fall under these exclusions, please proceed by providing an overview of the debt details you wish to submit for referral.

Type of debts involved *

No. of debts to refer *

Do your contracts with clients/consumers include a Debt Recovery Clause? *

(This clause is typically found in your Terms & Conditions or signed agreements and outlines the conditions under which debt recovery can be pursued, including any associated fees, processes, and responsibilities for unpaid debts.)

Debt Summary *

Upload Debt Documents

Upload your Terms & Conditions, Agreements, Invoices, SOAs, Communication Transcripts, or other relevant debt-related documents. You can also choose to send them later if unavailable.

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF ( max 30 Files )

Declaration of Debt Validity and Licensing Compliance *

You hereby declare and confirm that all debts submitted for recovery are valid, due, and payable, and that you possess the necessary documentation and evidence to support these claims.

You certify that your entity holds all relevant licenses, certifications, and qualifications, if applicable, to provide the goods or services rendered to the debtor(s) in relation to the submitted debts.

4. Services

Check Commission Rate / Fee Structure

Check Schedule of Fees

Standard Services comprise:

5. Identity & Authority Verification

Please upload a valid government-issued ID and a document confirming your authority to act on behalf of the business (e.g. ASIC record showing you as Director, or an authority letter). This is required for compliance and account activation. *

Identity & Authority Verification

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

6. Signatories

To be completed by an authorised representative of the business.

Name of authorised signatory *

Position of authorised signatory *

Signature *

Clear

Read Client Service Agreement

Authority to Proceed *

Yes, I have read and agree to the Client Service Agreement

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from Bluechip Collections. Message frequency varies. You can reply STOP to unsubscribe at any time.

Having trouble with the online form?
If you're experiencing issues with the online form, you can download and complete this PDF version instead and email it to us at [email protected].