Donna A. Daniels Law Offices, P.C., as a convenience to you, can generate a check to be drawn against your
checking account and applied toward your account with this office. We will print an actual paper check for deposit, and the check
will be returned to you with your next bank statement. You can authorize us to process a single transaction, or to make regular
weekly, bi-weekly or monthly withdrawals from your account until your balance is paid in full.
As a reminder, we are debt collectors, and this is an attempt to collect a debt and any information obtained will be used for that purpose.
You may need to enable javascript in your browser to use this site. If you are unable or unwilling to enable javascript,
or if you want to take advantage of our automatic payments, but simply do not want to use the web, you can download and
print this form, fill it out and either fax it to us at 978-262-9910,
Attention DCW, or mail it to us at Donna A. Daniels
Law Offices, P.C., Dept. DCW, 1988 Centre Street, West Roxbury, MA 02132. You will need Adobe's Acrobat Reader to open this form,
which is available here.
In order to make a payment, please COMPLETELY fill in the form below. Your telephone number and zip code must match what we currently
have on file for you. You can click any item in blue for help with that entry.