General Questions

Is there something that we can help you with that isn’t covered by one of the other forms?

Your Name *

E-Mail Address *

USCB America Account Number(s) *

Would you like a call back from manager?

Yes No

Telephone Number

This communication is from a debt collector. This is an attempt to collect a debt and any information obtained will be used for that purpose.

By providing your phone number, you hereby authorize USCB America to contact you at any current or future telephone numbers, including wireless telephone numbers or devices which could result in charges to you. You understand that this contact may include the use of pre-recorded or artificial voice messages, and may also include the use of an automatic telephone dialing system.

Are you human? *