Submission method — important notice
This form currently compiles your referral details and opens your email client to send the referral to ICAG. A secure backend submission process with document upload, confirmation email and submission reference is being implemented. Until that process is live, please attach all supporting documents (invoices, statements, agreements) to the email before sending. ICAG will confirm receipt and provide a referral reference by return email.
Please indicate the authority granted for each activity. Select "Authorised" to grant ICAG authority to proceed, "Not authorised" to exclude, or "Recommend only" where you wish to retain approval.
Activity Authority Notes Initial collection notices — Select — Authorised Not authorised Recommend only Demand, reminder, final demand, legal review notice Telephone / email / SMS contact — Select — Authorised Not authorised Recommend only Subject to compliance requirements Payment arrangement negotiation — Select — Authorised Not authorised Client approval required Recommend only Insert minimum payment terms or limits if applicable Accept settlement proposal — Select — Authorised Not authorised Client approval required Recommend only Settlement authority must be confirmed in writing Skip tracing / field call recommendation — Select — Authorised Not authorised Recommend only External costs require authority unless pre-approved Credit reporting review — Select — Authorised Not authorised Recommend only Only where legally available and applicable Legal referral recommendation — Select — Authorised Not authorised Recommend only Separate written authority required before referral File closure / withdrawal — Select — Client instruction required Closure reason to be documented
Please confirm the following to the best of your knowledge by checking each applicable box.
The amount referred is presently outstanding. I / we have authority to instruct ICAG in relation to this account. The debt arises from goods, services, agreement, account, invoice, contract, purchase order, or other lawful basis. Supporting documents are available or will be provided to ICAG upon request. Any known dispute, complaint, hardship, vulnerability, or legal issue has been disclosed to ICAG. Any payments, credits, refunds, adjustments, or settlement arrangements have been disclosed to ICAG.
Indicate which supporting documents are available. ICAG may request copies of these documents to progress your file.
Unpaid invoice(s) — Select — Yes No N/A
Statement of account — Select — Yes No N/A
Signed agreement / contract — Select — Yes No N/A
Purchase order / authority — Select — Yes No N/A
Terms and conditions — Select — Yes No N/A
Proof of delivery / completion / service — Select — Yes No N/A
Prior correspondence with debtor — Select — Yes No N/A
Debtor contact details and ABN/ACN — Select — Yes No N/A
Commence standard ICAG collection workflow — Select — Yes No
Issue initial Demand for Payment once file is complete — Select — Yes No
Refer any dispute back to creditor for review — Select — Yes No
Seek client authority before external costs are incurred — Select — Yes No
Provide status updates — Select frequency — Weekly Monthly As required
Other instructions Any additional instructions or notes for ICAG
