DOMINION RECEIVABLES SERVICE, INC.
Credit, Collection & Accounts Receivable Management Consultants
A Division of Old Dominion Enterprises Corporation
Post Office Box 30521
Alexandria, Virginia 22310
Washington DC Metro Area (703) 768-3510 
8 am - 5 pm Monday through Friday

DOMINION RECEIVABLES SERVICE, INC.
Credit, Collection & Accounts Receivable Management Consultants
Washington DC Metro Area (703) 768-3510    
8 am - 5 pm Monday through Friday

Copyright 1998 - 2008 ODEC
DOMINION RECEIVABLES SERVICE, INC.
Credit, Collection & Accounts Receivable Management Consultants
Washington DC Metro Area (703) 768-3510    
8 am - 5 pm Monday through Friday

TM
Collection Agency Checklist

All questions must be answered completely utilizing the section formats - if not applicable use N/A. Incomplete questionnaires will not be considered.


1. Full legal name of agency.

2. Headquarters address?
          A. Contact person?
          B.  Phone & FAX numbers
          C. Email address?
          D. Website URL
          E. Additional office location(s) with complete address(es)?

3. ACA Member?
          A. Other professional affiliations?

4. Years in business? 
          A. Under current ownership?

5. Principal's names, titles, years of collection agency experience?

6. Licensing: list all state collection agency licenses currently held

7. Insurance Coverage
          A. E&O Insurer
          B. Limits

8. Computer Systems/Automation
          A. Host collection system
                    i)   vendor name?
                    ii)  Proprietary system?
                    iii) Number of stations?
          B. Dialer (if used)
                    i)   Vendor name?
                    ii)  Proprietary system?
                    iii) Number of dialer stations?
                    iv) How is the dialer used?
                              1) Describe campaign creation parameters
                              2) Campaign frequency
                              3) Hours utilized
                              4) Other pertinent dialer facts

9. PBX (if used) 
          A. Manufacturer/model
          B. Auto attendant?
          C. Maximum number of lines/T-1's

10. IVR System
          A. Manufacturer/model
          B. Utilization description

11. Mail management  in-house or out-sourced
          A. If in-house
                    i)  Describe procedure
                    ii) Equipment utilized
          B. If outsourced
                    i)   To whom?
                    ii)  How is the data transmitted?
                    iii) When is the data transmitted?
                    iv) What type of transmittal verification is utilized?
          C. Do you utilize the USPS National Change of Address database?
                    1) If yes, describe how and when accounts are updated

12. Are new accounts automatically scrubbed through any other databases? If so,           please describe completely.

13. What in-house or online skip tracing resources do your collectors have access          to?

14. Collector hiring and training practices  
          A. Parameters (if any) for hiring experienced collectors?
          B. Parameters (if any) for hiring trainees?
          C. Training program synopsis (if training is offered)
                    i) attach copy of table of contents page of training manual
          D. FDCPA compliance training - complete description
          E. Total number of collectors
                    i) Broken down by number of collectors and type of account                                                responsibilities
                    ii) Account per collector ratio (small balance, large balance, dialer, etc)
          F.   Support personnel - number
                    i)   Administrative/clerical
                    ii)  Client service
                    iii) Sales
                    iv) IT
                    v)  Other

15. Supervision
          A. Number of supervisors and area(s) of responsibility
          B. Average tenure with agency
          C. Number of collectors per supervisor

16. Debtor complaint process (fully describe)

17. Hours of operation

18. Cash Tools
          A. Credit/debit card capability?
          B. Telephone checks?
          C. Western Union?
          D. Electronic check representment?
          E. Web based payment?
          F. Other?

19. Report capabilities
          A. Customized reports easily available?
          B. Sales and recovery percentages MTD/YTD/LTD  both cumulative and by                        month listed (attach samples)
          C. Debtor Inventory  list of all accounts with current status (attach sample)
          D. Bankrupt accounts  case number & discharge date (attach sample)
          E. Other unique reports offered (attach samples)

20. Payment Processing
          A. Describe complete payment process from opening mail to bank deposit

21. Statement frequency?
          A. EFT capability?

22. Dental/ Medical collection expertise (or whatever industry is appropriate)
          A. Percent of gross collections that are derived from dental/ medical clients
          B. List of 3 largest dental/ medical clients with contact names and phone                           numbers for reference purposes

23. Proposed collection methodology on ___________________________ accounts        based on an average balance of $____ per account and an average age of ___            days from the date of service or last payment. Be specific on any variables                   based on individual account balance, age, geographic location, etc. Include the         following information with your description:
          A. Number of letters in dunning series (balance parameters  if any) and attach                  copies of each letter
          B. Number of collection calls made before closing an account as uncollectible                 (balance parameters  if any)
          C. Review process (if any) before an account is closed as uncollectible
          D. Credit Bureau reporting capabilities  (Bureaus & minimum balance                                  reported?)

24. Do you offer remote audit capabilities?

25. Pre-collection/Early Out services offered and fee schedule

26. Proposed contingency collection fee schedule for ________________________

27. Is agency PPMS certified?
DOMINION RECEIVABLES SERVICE, INC.
Credit, Collection & Accounts Receivable Management Consultants
A Division of Old Dominion Enterprises Corporation
Post Office Box 30521
Alexandria, Virginia 22310
Washington DC Metro Area (703) 768-3510 
8 am - 5 pm Monday through Friday