Offer for Payment Plan — Olson Shaner

OFFER TO SET UP PAYMENTS

Instructions

This form is for you to make an offer to set up monthly payments on your account. It is intended for those who are currently employed. If you are unemployed or otherwise do not want to complete this form please call our office to review your options for payments.

Once your offer is received we will review your offer along with your account. THIS IS ONLY THE FIRST STEP TO SETTING UP PAYMENTS AND YOU MUST COMPLETE THE PROCESS. Depending on your situation you may or may not have to sign a document.

Fill out the following information and press submit. Take your time and be accurate with your answers. You should hear from us via email within one business day.

THIS IS AN OFFER OF SETTLEMENT PAYMENTS FROM YOU TO THE PLAINTIFF. THE PLAINTIFF CAN DECLINE YOUR OFFER FOR ANY REASON.

If you have any suggestions on how to make this form more user friendly please email office@olsonshaner.com.

Your Information

Reference #

Name

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Alt. Phone

(###)

###

####

Employer Information

Employer’s Name

Employer’s Phone Number

(###)

###

####

Employer’s Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Income and Offered Payment Amount

Our Address

Olson Shaner
PO BOX 26617
Salt Lake City, UT 84126
Phone: (866) 211-8660
Fax: (877) 415-3470

Our normal office hours are Monday - Friday, 8:00 - 6:00. We are closed most major holidays.

Important Information

This is an attempt to collect a debt and any information obtained will be used for that purpose. Unless we have a signed representation agreement with you, we are not your attorneys. Nothing on this website is intended as legal advice. If you have questions about your rights you should seek your own counsel. Continued use of this website constitutes your acceptance of these terms.