CCCS Logo | Clark County Collection Services

Full Name*
Phone Number*
Your Email*
Account #
Address*
Street Address Address Line 2 City State ZIP Code
Can you receive a phone call at the number provided?*
- Yes I Can Receive A Call
- No I Can Not Receive A Call
Your Comments*
Name
This field is for validation purposes and should be left unchanged.

If you are submitting a complaint we are not able to respond via email due to federal regulations.

A response to your complaint will be mailed to the provided address within 10 business days.

This communication is from a debt collector. This is an attempt to collect a debt and any information obtained will be used for that purpose.

Agency License Number - CA01070, Personal License Number - CM12373