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Dispute a Debt

Central Professional Services

Dispute a Debt

If you believe your account was sent in error or is incorrect, please complete the form below

Account Dispute Form

Please complete the dispute form below. Include as much information as possible to help us better understand your dispute.
Please enter the reference number found on your statement/notice in bottom right corner.
*ACCOUNT NUMBER IS REQUIRED FOR SUBMISSION*
*ACCOUNT NUMBER IS REQUIRED FOR SUBMISSION*
Please enter the reference found on your statement/notice in bottom right corner
First Name
*FIRST NAME IS REQUIRED FOR DISPUTE SUBMISSION*
*FIRST NAME IS REQUIRED FOR DISPUTE SUBMISSION*
Last Name
*LAST NAME IS REQUIRED FOR DISPUTE SUBMISSION*
*LAST NAME IS REQUIRED FOR DISPUTE SUBMISSION*
Birth Date
MM/DD/YY
Field is required!
Field is required!
Social Security Number
Social Security Number
Field is required!
Field is required!
Address Line 1
*ADDRESS REQUIRED FOR SUBMISSION*
*ADDRESS REQUIRED FOR SUBMISSION*
Address Line 2
Field is required!
Field is required!
City
*CITY REQUIRED FOR SUBMISSION*
*CITY REQUIRED FOR SUBMISSION*
State
*REQUIRED FOR SUBMISSION*
*REQUIRED FOR SUBMISSION*
Zip Code
*ZIP CODE REQUIRED FOR SUBMISSION*
*ZIP CODE REQUIRED FOR SUBMISSION*
Home Phone/Land Line Number:
*REQUIRED FOR DISPUTE SUBMISSION*
*REQUIRED FOR DISPUTE SUBMISSION*
Field is required!
Field is required!
Cellular Phone Number
Field is required!
Field is required!
Field is required!
Field is required!
Email Address
Field is required!
Field is required!
Field is required!
Field is required!
Preferred Communication Method
*PREFERRED CONTACT METHOD IS REQUIRED FOR SUBMISSION*
*PREFERRED CONTACT METHOD IS REQUIRED FOR SUBMISSION*
I want to dispute the debt because I think:
*REASON FOR DISPUTE IS REQUIRED FOR SUBMISSION*
*REASON FOR DISPUTE IS REQUIRED FOR SUBMISSION*
What is your dispute? (Please include any details supporting dispute dates of service, payment dates/methods, locations etc.)
Description of Dispute is required
Description of Dispute is required for submission
Please provide a detailed explanation for dispute
Please provide any supporting documents (Invoices, Receipts, EOB Letters Etc)
Upload your documents...
Field is required!
Field is required!
This dispute form has been completed to the best of my knowledge for submission to Central Professional Services:
Type your full name below approving this dispute
*NAME VERIFICATION IS REQUIRED FOR SUBMISSION*
*NAME VERIFICATION IS REQUIRED FOR SUBMISSION*
Your Full Name
* Central Professional Services will assist you in any way we can, however, some requests require more information and a representative may contact you at the phone number you provided.
Field is required!
Field is required!
Submit

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Central Professional Services

801 Sunnyside Drive

Cadillac, MI 49601


Phone:

231-775-3711

1-800-748-0031

Our Business Hours

8:00am – 6:00pm Monday-Friday

8:00am – 12:00pm Saturday

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

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