The following information contains important information and disclosures for Electronic Communications, E-Sign and State Mandatory Consumer Rights.
This is an attempt, by a debt collector, to collect a debt, and any information obtained will be used for that purpose.
All correspondence to us should be sent to the following address:
Automated Collection Services, Inc.
2802 Opryland Drive, Nashville, TN 37214
Toll Free Telephone Number: 800-467-2316
Normal Business Hours: Mon-Thurs 8:00 am to 5:00 pm, Friday 8:00 am to 3:00 pm CST
When you provide a check as payment, you authorize us either to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic transfer, funds may be withdrawn from your account as soon as the same day we receive your payment, and you will not receive your check back from your financial institution.
ELECTRONIC COMMUNICATIONS AND E-SIGN
We are pleased to offer you the opportunity to receive information about your account through electronic communications. If you would like to receive correspondence and documents concerning your account from us via email, instead of paper copies through the mail, please review this notice and provide your consent. This E-Sign Consent and Disclosure Form applies to all communications for account(s) that you may receive from Automated Collection Services, Inc. (“ACSI”) regarding your account(s) that have been placed for collection with ACSI, except as otherwise prohibited by law.
Please read this Federal Electronic Signatures in Global and National Commerce Act (“E-SIGN”) Consent and Disclosure Form carefully. You can record your consent to the E-Sign disclosure by RESPONDING VIA EMAIL TO ACSI WITH THE WORD “YES” affirming your consent to the electronic delivery of any disclosures, agreements, change notices, changes to the terms and conditions of your account and any other documents or notices (collectively, the “Documents”) that we may provide to you regarding your account. You have the right to request a paper copy of Documents, however, we may not provide you with paper (non-electronic) copies of any documents unless specifically requested by you. You will not be charged a fee for any paper copies requested.
Please note that agreement to this E-Sign Consent and Disclosure will not result in enrollment in paperless statements.
Definitions. The words “we”, “us”, and “our” refer to ACSI, and the words “you” and “your” refer to you, the consumer responsible for an account(s) and your authorized agents.
“Account” means the account(s) in your name that has been placed with ACSI for collection.
“Electronic signature” means symbols or other data in digital form attached to an electronically transmitted document as verification of the sender’s intent to sign the document.
Communications to be provided in Electronic Form:
By consenting to this agreement, you agree that ACSI may provide you with any communications that we may choose to make available in electronic format, to the extent provided by law, and that we may discontinue sending paper communications to you, unless and until you withdraw your consent as described below. Your consent to receive electronic communications and transactions includes, but is not limited to:
- Any communication concerning the status of your account(s) that has been placed with ACSI for collection.
- All legal and regulatory disclosures and communications associated with your account(s).
- Notices or disclosures about a change in the terms of your account(s) or associated payment arrangements.
- Privacy policies and notices.
- Monthly (or other periodic) billing or account statements for your account(s) or other communications concerning your account(s).
We also need your consent to use electronic signatures in our relationship with you.
Method of Providing Communications to You in Electronic Form:
All communications that we provide to you in electronic form will be provided either (1) via e-mail; (2)
by access to a web site that we will designate in an e-mail notice that we send to you at the time the
information is available, (3) to the extent permissible by law, by access to a web site that we will
generally designate in advance for such purpose, or (4) by requesting you download a PDF file
containing the communication.
How to Withdraw Consent:
You may withdraw your consent to receive electronic communications at any time by calling us at 866-
376-7835 or emailing us at email@example.com . At our option, we may treat your provision of an invalid email address, or the subsequent malfunction of a previously valid e-mail address, as a withdrawal of
your consent to receive electronic communications. You will not be charged any fee to process the
withdrawal of your consent to receive electronic communications. Any withdraw of your consent to
receive electronic communications will be effective only after we have had a reasonable period of time
to act on your notice of withdraw.
How to update your records:
It is your responsibility to provide us with a true, accurate and complete e-mail address and other
contact information, and to promptly provide us with any updates to your contact information. You may
provide updated contact information to us by calling 866-376-7835 or emailing us at firstname.lastname@example.org.
Hardware and Software Requirements:
In order to access, view and retain electronic communications that we make available to you, you must
have the following:
- Internet access and an e-mail account;
- Access to a printer in order to print documents;
- Sufficient electronic storage capacity on your personal computer’s hard drive or other data
- Adobe Reader may be downloaded from this website https://get.adobe.com/reader/
You may request a paper copy of communications by calling 866-376-7835 or emailing us at
Communications in writing:
All communications that we send to you in either electronic or paper format will be considered to be
communications “in writing”, and you should print or download copies of all such communications,
including this Consent form, for your personal records.
You further acknowledge and agree that your consent to electronic communications is being provided
in connection with a transaction affecting interstate commerce that is subject to the federal Electronic
Signatures in Global and National Commerce Act (E-Sign Act – 15 U.S.C. §§ 7001 – 7006), and that
the E-Sign Act shall apply to the fullest extent possible to validate our ability to conduct business with
you via electronic communications.
IMPORTANT DISCLOSURES FOR YOUR STATE OF RESIDENCE
We are required under state law to notify consumers of the following rights. The following notices apply
to persons who reside in those states. This list does not contain a complete list of the rights consumers
have under state and federal law. California Residents
The state Rosenthal Fair Debt Collection Practices Act and the federal Fair Debt Collection Practices
Act require that, except under unusual circumstances, collectors may not contact you before 8 a.m. or
after 9 p.m. They may not harass you by using threats of violence or arrest or by using obscene
language. Collectors may not use false or misleading statements or call you at work if they know or
have reason to know that you may not receive personal calls at work. For the most part, collectors may
not tell another person, other than your attorney or spouse, about your debt. Collectors may contact
another person to confirm your location or enforce a judgment. For more information about debt
collection activities, you may contact the Federal Trade Commission at 1-877-FTC-HELP or
www.ftc.gov. For medical debts only
- Nonprofit credit counseling services may be available in the
FOR INFORMATION ABOUT THE COLORADO FAIR DEBT COLLECTION PRACTICES ACT, SEE WWW.COAG.GOV/CAR. A consumer has the right to request in writing that a debt collector or collection agency cease further communication with the consumer. A written request to cease communication will not prohibit the debt collector or collection agency from taking any other action authorized by law to collect the debt. Local Office: 7200 S. Alton Way, STE B180, Centennial, CO. 80112, 720-508-1781
NOTICE OF IMPORTANT RIGHTS: You have the right to make a written or oral request that telephone
calls regarding your debt not be made to you at your place of employment. Any such oral request will
be valid for only ten days unless you provide written confirmation of the request postmarked or delivered
within seven days of such request. You may terminate this request by writing to the debt collector.
This collection agency is licensed by the Minnesota Department of Commerce. For medical debts
only - If you feel that your concerns have not been addressed, please contact our consumer help line
at 877-483-5751 and allow us the opportunity to try and address your concerns. Or you have the option
to address any concerns with the Minnesota Attorney General’s Office, which can be reached at 651-
296-3353 or 1-800-657-3787.
Nevada Residents –For medical debts only
If the consumer pays or agrees to pay the debt or any portion of the debt, the payment or agreement
to pay may be construed as: (1) an acknowledgment of the debt by the consumer; and (2) a waiver by
the consumer of any applicable statute of limitations set forth in NRS 11.190 that otherwise precludes
the collection of the debt; and (3) if the consumer does not understand or has questions concerning
his/her legal rights or obligations relating to the debt, the debtor should seek legal advice.
New York State Residents
If a creditor or debt collector receives a money judgment against you in court, state and federal laws
may prevent the following types of income from being taken to pay the debt:
- Supplemental security income, (SSI);
- Social security;
- Public assistance (welfare);
- Spousal support, maintenance (alimony) or child support;
- Unemployment benefits;
- Disability benefits;
- Workers’ compensation benefits;
- Public or private pensions;
- Veterans’ benefits;
- Federal student loans, federal student grants, and federal work study funds; and
- Ninety percent of your wages or salary earned in the last sixty days.
That debt collectors, in accordance with the Fair Debt Collection Practices Act, 15 U.S.C.
§ 1692 et seq., are prohibited from engaging in abusive, deceptive, and unfair debt collection efforts,
including but not limited to:
i. the use or threat of violence;
ii. the use of obscene or profane language; and
iii. repeated phone calls made with the intent to annoy, abuse, or harass.
New York City Residents
New York City Department of Consumer Affairs License Numbers: 2011364-DCA, 2010680-DCA.
Automated Collection Services, Inc. Consumer Help Desk
For assistance you may contact – 877-483-5751 Christina Love
North Carolina Residents
North Carolina permit number: 4449 and 111775
This collection agency is licensed by the Collection Service Board of the Department of Commerce and
As required by law, you are hereby notified that a negative credit report reflecting on your credit record may be submitted to a credit reporting agency if you fail to fulfill the terms of your credit obligations.
This collection agency is licensed by the Division of Banking in the Wisconsin Department of Financial
Payment in Full
Because your credit agreement may require you to pay interest on the outstanding portion of your
balance, as well as late charges and costs of recovery, which vary from day to day, as you agreed in
your credit agreement, the amount required to pay your account in full on the day you send payment
may be greater than the amounts that appear in our written communications. If an amount is stated
on a letter and you pay that amount, an adjustment may be necessary after we receive your payment.
In that event, we will notify you of any adjustment in your balance. We encourage you to call prior to
making a payment intended to pay your account in full.
By emailing ACSI, you are requesting to receive email from ACSI on an ongoing basis. You
understand email is not a protected method of communication. By emailing and/or providing your
telephone number you are giving express consent to call and/or reply to your personal email. Your
response also provides assurance that the email address provided is safe for your use. You may
withdraw consent or opt out by emailing ACSI. You may need Adobe Acrobat Reader to access some
of the electronic records that may be sent to you.
CONFIDENTIALITY NOTICE FOR EMAIL: This e-mail communication, including any attachments, is
covered by the Electronic Communication Privacy Act of 1986 (18 U.S.C. sections 2510-21) and may
contain information protected by the federal regulations under the Health Insurance Portability and
Accountability Act of 1996 (45 C. F. R. Parts 160-164) or other confidential information. If you are not
the intended recipient (or authorized to receive for the recipient), you are hereby notified that any
review, disclosure, dissemination, distribution or copying of this communication is strictly prohibited. If
you have received this communication in error, please delete and/or destroy all copies of this
communication and any attachments. No confidentiality or privilege is waived by errant delivery. E-mail
transmissions cannot be guaranteed to be safed or error-free as information could be intercepted,
corrupted, lost, destroyed, arrive late, incomplete, or contain viruses. Therefore, the sender, Automated
Collection Services, Inc. does not accept liability for any errors or omissions in the contents of the