Debt Harassment Representation Agreement

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Debt Harassment Legal Representation
This form will allow an attorney to represent you, if any Credit Collection Agency violates the Federal and State
Fair Debt Collection laws, at no cost to you.
This agreement is entered into between CLICK HERE TO ENTER NAME hereinafter referred to as "CLIENT" and
Graham Law Group, LLC, hereinafter referred to as "ATTORNEY"
CLIENT retains the undersigned ATTORNEY to represent (him/her) regarding any and all Debt Harassment
violations and CLIENT does hereby give to said ATTORNEY the exclusive right to take all legal steps to represent
the Client’s interests.
Debt harassment is any violation of the Fair Debt Collections Practices Act (FDCPA), Florida Consumer
Collection Practices Act (FCCPA) and the Telephone Consumer Protection Act (TCPA). These
violation include: early or late night phone calls, attempting to collect debt not owed, threats, calls at work,
contacting third parties, using obscene language, causing the phone to ring repeatedly, not disclosing the identity
of the caller, making false or misleading statements, falsely representing the amount or legal status of the debt,
falsely identify himself as an attorney, imply that non-payment will result in arrest, threatening suit or
garnishment, etc.
No Fee to you
There is no cost to the Client. Federal and State law states that the Credit Collection Agencies will be responsible
for fees and cost, if the client prevails. You can also be entitled to statutory damages up to $1,000.00, actual
damages for out-of-pocket costs or compensation for emotional distress and stress related injuries.
Client responsibility
The CLIENT agrees to maintain contact with ATTORNEY and cooperate fully with ATTORNEY. Client should
immediately document and report any suspected debt harassment violations to Attorney.
Release of Information
The CLIENT agrees that Credit Counselors of Orlando can release directly to Attorney any credit information
necessary to pursue violations of the Federal and State Fair Debt Collection laws.
Confidentiality
Attorney agrees that all information obtained is confidential and attorney will not divulge, disclose or
communicate any of Client’s personal credit information to any party which is not the subject of a violation of
Federal and State Fair Debt Collection law.
CLICK HERE TO SIGN
ENTER DATE
GRAHAM LAW GROUP, LLC
3008 E. Robinson Street
Orlando, FL 32803
Telephone: (407) 392-1048
Fax: (866) 941-5809
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Creditor Harassment Evaluation
If you believe you have been harassed, please fill out form
Name: f
Email:
Street:
City, State, Zip:
Phone:
Fax:
1. Has the same debt collector called you multiple times?
Yes
No
Insert Name and/or Phone Number of ALL Debt Collection Agency
2. Has a debt collector ever threatened to take any action against you (legal or otherwise)?
Yes
No
Threatened What?
--------
3. Has a debt collector ever contacted anyone other than your spouse about your debt?
Yes
No
4. Has a debt collector ever contacted you at work?
Yes
No
5. Has a debt collector tried to collect debt discharged in prior Bankruptcy?
Yes
No
6. Has a debt collector called you before 8:00AM or after 9:00PM local time?
Yes
No
7. Has a Debt collector left you a message without identifying his or her company or the purpose of the call?
Yes
No
PLEASE SAVE ALL MESSAGES
8. Has a debt collector used obscene or abusive language?
Yes
No
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