We understand that it can sometimes be difficult to discuss financial matters by telephone. That's why we've created an option to submit a payment plan proposal completely online.

Please note that not all proposals can be approved. If your proposed plan does not meet our client's requirements, we will provide alternative options and/or may request additional information.

⚠ Important: This and any communication with our office is an attempt to collect a debt. Any information obtained will be used for that purpose.

How the Process Works

1
Submit Your Proposal Complete the form below with your contact information and proposed monthly payment amount.
2
Review by Our Office A member of our office will review your proposal against client requirements.
3
Response by Email You will be contacted by email with an approval, alternative options, or a request for more information.

STEP 1 Your Information

First Name *

Last Name *

Email Address *

Phone Number

Account Number (from letter) *

Current Mailing Address *

STEP 2 Employment Information

Employer Name

Gross Monthly Income

STEP 3 Your Payment Proposal

Proposed Payment Amount *

Payment Frequency *

Proposed First Payment Date *

⚠ Must be within 30 days of the date on your last letter.

Additional Comments

✓

Proposal Submitted

Your payment plan proposal has been received. A member of our office will review it and respond by email.

Submission Summary

What happens next: Our office will review your proposal and contact you by email. Please do not submit multiple proposals — if you need to make changes, email plans@ohiospecialcounsel.com directly.

Payment Plan Proposal

Proposal Submitted

Submission Summary

Payment Plan Proposal