Schedule a Call

Please complete the form below to schedule a time for Lyons, Doughty & Veldhuis P.C./P.A. to call you. Designate a date/time that is a minimum of two hours from now to allow for receipt and scheduling of your call. Please be advised we cannot schedule calls for after 5:30 PM on weekdays or on weekends or holidays.

Name(Required)

First Last

Email(Required)

Work or Personal Email*(Required)

Would you like a response to this inquiry via email?(Required)

May we email you about your account in the future (even if this is a work email address)?(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

LDV File Number

Last four digits of social security number(Required)

Date of Birth(Required)

Phone Number(Required)

Pick a Date and Time

Date(Required)

Time-Eastern Time Zone(Required)

Note: Please enter current or future dates only . For same day calls, schedule at least two hours in advance of the current time. Dates and times that do not adhere to these conditions cannot be honored.

Type of Phone

You may call me(Required)

If you select yes, you are authorizing us to call the indicated number manually or by electronic dialer and to leave messages for you at that number.

Additional Information

This firm is a debt collector.

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Name

This field is for validation purposes and should be left unchanged.