Order form debt collection extract

1Personal data

2Identity card

3Signature

4Finalize order

Personal data

Order is for

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Sole proprietorship
No debt enforcement information can be issued about a sole proprietorship (with or without an entry in the commercial register). Debt enforcement information must be obtained from the debt enforcement office at the company owner's place of residence.

Company name(required)

ℹ️

Contact person
The specified person must be entered in the commercial register for this company.

Gender(required)

First name(required)

Last name(required)

Date of birth(required)

e-mail address(required)

The debt collection extract will be sent to this e-mail.

Mobile(required)

Mobile (for any queries)

ℹ️

Weekly resident
Please enter your official residential address, a weekly residence address will not be accepted.

ℹ️

Address
Enter domicile address (head office) as per commercial register office.

Your address(required)

Country

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Cross-border commuters
Cross-border commuters do not receive a debt collection extract in Switzerland. The address must be in Switzerland.

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ZIP
The zip code appears to be incorrect. Please check it again.

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City
The city contains a number. Please adjust this.

Data protection(required)

I agree with the privacy policy agree.

Proof of identity

Simply upload a photo or scan of your ID - the relevant office will need it to process your order.

Select identity document(required)

Front page(required)

Swiss identity card

Drag files here or

Accepted data types: jpeg, jpg, png, heic, pdf, Max. File size: 300 MB, Max. Files: 1.

Tips for uploading images

✔️ Permitted formats: .jpeg, .jpg, .png, .heic, .pdf
✔️ Front side fully visible

⚠️

Please note
Photo, personal data and signatures must be complete and clearly visible.

Example:

back(required)

Swiss identity card

Drag files here or

Accepted data types: jpeg, jpg, png, heic, pdf, Max. File size: 300 MB, Max. Files: 1.

Tips for uploading images

Example:

Inside(required)

Swiss passport

Drag files here or

Accepted data types: jpeg, jpg, png, heic, pdf, Max. File size: 300 MB, Max. Files: 1.

Tips for uploading images

✔️ Permitted formats: .jpeg, .jpg, .png, .heic, .pdf
✔️ Inside with signature fully visible

⚠️

Please note
Photo, personal data and signature must be complete and clearly visible.

Example:

Front page(required)

Swiss driving license

Drag files here or

Accepted data types: jpeg, jpg, png, heic, pdf, Max. File size: 300 MB, Max. Files: 1.

Tips for uploading images

✔️ Permitted formats: .jpeg, .jpg, .png, .heic, .pdf
✔️ Front side fully visible

⚠️

Please note
Photo, personal data and signatures must be complete and clearly visible.

Example:

back(required)

Swiss driving license

Drag files here or

Accepted data types: jpeg, jpg, png, heic, pdf, Max. File size: 300 MB, Max. Files: 1.

Tips for uploading images

Example:

Front page(required)

Foreigner's identity card

Drag files here or

Accepted data types: jpeg, jpg, png, heic, pdf, Max. File size: 300 MB, Max. Files: 1.

Tips for uploading images

✔️ Permitted formats: .jpeg, .jpg, .png, .heic, .pdf
✔️ Front side fully visible

⚠️

Please note
Photo, personal data and signatures must be complete and clearly visible.

Example:

back(required)

Foreigner's identity card

Drag files here or

Accepted data types: jpeg, jpg, png, heic, pdf, Max. File size: 300 MB, Max. Files: 1.

Tips for uploading images

Example:

Sample foreigner's identity card back page

Inside(required)

Foreigner's identity card (paper form)

Drag files here or

Accepted data types: jpeg, jpg, png, heic, pdf, Max. File size: 300 MB, Max. Files: 1.

Tips for uploading images

✔️ Permitted formats: .jpeg, .jpg, .png, .heic, .pdf
✔️ Inside completely visible

⚠️

Please note
Photo, personal data and signatures must be complete and clearly visible.

Example:

Encrypted transmission

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Pre Entry Id

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Product 1

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Product 2

Signature

The debt collection office requires your signature to process the order.

Signature(required)

⚠️

Please sign your application in the same way as on your identity document.

This field is hidden when viewing the form

Product selection

Crif

Unique ID

Complete order

Applicant

{Firmenname:38}

{Geschlecht:27} {Vorname:6} {Nachname:16}

{Anschrift (Anschrift):17.1} {Anschrift (Anschrift Zusatz):17.2}

{Anschrift (PLZ):17.5} {Anschrift (Ort):17.3}

Geburtsdatum: {Geburtsdatum:24}

{E-Mail:23}

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Procedure and delivery
You will receive the debt collection extract by e-mail in most cases within 24 hours (only on working days and depending on the competent debt collection office). You pay the amount of CHF 29.90 incl. VAT directly.