Note Collections Form (PDF Format)
You may fill out the first page of this three page document online before printing. Print all three pages to submit per instructions. This version (1/28/2021) supercedes all prior versions.
Because of the ability this form offers to fill
out online, it is a larger file of approximately
2.2MB and may take a little longer to download
dependent upon your connection speed. You may
click on the link above to open the form
online using Adobe Acrobat. Once the document
is open, you may either print it out to fill
it out by hand, or click in the
fields of the form with your mouse to type in
After you have filled it out using either method,
please print it and fax it to us at: 702.362.1010.
You may also right click on the link to the
left and "save target as" to save
it to your own computer to fill out whenever
If you save it to your computer, you still
have the option to open it on your computer,
fill it out using your keyboard or printing it
and filling it out by hand.
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