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Phone
Toll Free:
(855) 399-4787
Fax
718.668.1937
Payments & Correspondence
P.O. Box 30306
Staten Island, NY 10303
RTR Office Hours
9:00 A.M. - 8:00 P.M. (ET) Monday-Thursday
9:00 A.M. - 5:00 P.M. (ET) Friday
9:00 A.M. - 1:00 P.M. (ET) Saturday
To dispute a debt with RTR Financial Services, please complete and submit the form below.
To contact RTR about a different issue, please
click here
.
Subject / Reason for Contact
*
Select...
Payment Inquiry
I Received Mail from RTR
I Received a Call from RTR
Dispute a Debt (allows documents to be uploaded)
Submit Documentation for Review (for a prior Dispute or Proof-of-Payment)
Request Verification of Debt (Guarantors/Responsible Parties)
Request Verification of Debt (Attorneys/Executors)
Request Other Documentation
Refund Request
Subscribe to Text
Subscribe to Email
Existing RTR Client
Potential RTR Client / Partnership Inquiry
RTR Staff Member Inquiry
Employment Inquiry / Career Opportunities at RTR
Other
Name
*
Email
*
Reference/Account Number
(Where can I find this?)
Phone Number
I am
A Patient/Customer
An Attorney
A Client/Creditor
A Potential Client
An RTR Employee
Other
Tell us the reason you're disputing the debt
*
This account was previously paid in full
This is not my account, it belongs to someone else
This is my account, but the dollar amount shown as due in incorrect
My Health Insurance Carrier was responsible to pay for these charges
*Medical accounts only, please attach Carrier information
I have a grievance with the Medical provider of these Services
*Medical accounts only, please provide details
My Health Insurance Carrier was responsible to pay for these charges
*Medical accounts only, please attach Carrier information
My No-Fault Carrier was responsible to pay for these charges
*Medical accounts only, please attach Carrier information
My Employer's Workers Compensation Carrier was responsible to pay for these charges
*Medical accounts only, please attach Carrier information
I have never, or no longer own the vehicle for which these charges were incurred
*Vehicular accounts only, please attach License Plate/Registration information or proof of sale
Other
*Please describe the nature of your Dispute below
Note:
Please give us as much information as possible to help us appropriately process your dispute.
Comments
*
I want you to send me the name and address of the original creditor
Please verify your address
Address
*
City
*
State
*
Select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
*
Upload supporting file(s)
Max file size: 10MB, Max files allowed: 5
File types allowed - jpg, pdf, png, gif, doc, docx, xls, xlsx
Security Verification
*
I agree to allow RTR Financial Services, Inc. to communicate with me via email about the account(s) identified above. I affirm that the email address I have provided is not furnished or owned by my employer. I understand that by checking the “I Agree” box, I am acknowledging my consent to receive email communications from RTR Financial Services Inc.
I also understand that I may opt out of receiving further email communications from RTR Financial Services, Inc. to this email address by clicking
HERE
, by visiting
https://www.rtrfs.com/optout
, or by clicking on the "opt-out" link in any email I receive.
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