Account Listing Form

  1. Download and fill out listing form with as much pertinent information as possible. Feel free to send us your own printout or itemized statement if it would be easier. Be sure to include the name of your firm.

  2. Mail, fax or email the listing form to us.

  3. We will send you an acknowledgement giving a full accounting of these newly listed accounts.

  4. Please call us immediately if a payment is made to your office on an account listed with us for collection. Unreported payments may cause a multitude of problems for both of us.

  5. You will receive a statement for any month during which financial activity has occurred on your accounts.

  6. Progress reports will be rendered on request.

Certified Services, Inc.

P.O. Box 177 • Waukegan, IL 60079-0177

PHONE: 847-623-6440
FAX: 847-623-9290