Borrower Intake Form

Complete the form below to begin your loss mitigation review. A representative will contact you within 1–2 business days.

Notice: This is a communication from a debt collector. Any information obtained through this form will be used for the purpose of collecting a debt. River Flow Funding is licensed as a debt collector in the State of California.

What Happens Next?

We review your submission

A representative reviews your information within 1–2 business days.

We contact you

We reach out by phone or email to discuss your situation and next steps.

Document request

We may ask for supporting documents — pay stubs, bank statements, etc.

Options presented

We present every available option in plain language with no pressure.

Need to speak to someone now?
Call us at (888) 438-0026
Monday–Friday, 8 AM–5 PM PT

Your rights under the FDCPA: You have the right to request written verification of the debt within 30 days of receiving written notice of the debt. You may also dispute the debt in writing.

Borrower Information

Fields marked * are required.

Contact Information

First Name *

Last Name *

Phone Number *

Email Address *

Preferred Contact Method *

Property & Loan Information

Property Address *

City *

State *

ZIP Code *

Loan Number (optional) Found on your most recent statement or collection notice.

Current Occupancy Status *

Hardship Information

Primary Hardship Type *

Describe Your Hardship * This description helps us understand your situation and determine which options may be available. You are not required to share more than you are comfortable sharing.

Approximately How Many Months Behind Are You? An estimate is fine. Exact figures will be confirmed through your servicer.

Income & Expense Summary

Provide your best estimates. Supporting documentation will be requested separately if needed.

Gross Monthly Household Income (optional)

Include all income sources (wages, rental income, benefits, etc.)

Current Monthly Mortgage Payment

Your scheduled payment before the default.

Total Monthly Living Expenses (optional)

Include housing, food, utilities, transportation, medical, etc.

Other Monthly Debt Payments

Car loans, student loans, credit cards, etc.

Income Sources Select the category that best describes your primary income.

Additional Information

What outcome are you hoping for?

Additional Comments (optional)

How did you hear about us? (optional)

Required Acknowledgment

I understand that this is an attempt to collect a debt and that any information I provide will be used for that purpose. I understand that River Flow Funding is a debt collector and that this communication is from a debt collector. *

This acknowledgment is required before submitting your information.

Your rights: Submission of this form does not waive any of your rights under the Fair Debt Collection Practices Act (FDCPA), the Fair Credit Reporting Act (FCRA), or applicable state law. You retain the right to dispute the validity of the debt within 30 days of receiving written notice.

By submitting, you confirm that the information provided is accurate to the best of your knowledge. A representative will contact you within 1–2 business days.