National Judgment Investment Corp.

In order to select a User ID & Password, you must Complete the information contained in the Submit Claim or Judgment Execution Request forms.

Submit Claim Request Please provide the information requested, if known to you, in the form provided below
Client Information
Name:
Title:
Company Name:
Mail and Street Address:

City:
State/Province:
Zip:	-
Country:
Phone Number:
Fax Number:
Email Address:

Debtor Information
Company Name:
Name of Contact Person:
Title of Contact Person:
Mail and Street Address:

City:
State/Province:
Zip:	-
Country:
Phone Number:
Fax Number:
Email Address:
Invoice Date:
Debtor's Last Payment:
Amount:
Total Amount Due:
Special Instructions:
User Login Information
If this is the first time placing a claim with NJIC for recovery, please check the "New User" box and select your own Username and Password to be used for future visits to our website. If you are a current client, please check "Existing Client" and enter your Username and Password. Please note that all New Users who submit claims on this page will be notified by NJIC via email once their claim(s) have been placed on our Online Debt Status system. Until that time, no account will be ready to review. We will notify you within 24 hours of placing your account for recovery with NJIC.
	Existing User New User
Username:
Password: