All fields are required.
You may be facing creditor's rights mediation if your secured or unsecured debt lapses. If your debt is secured, that may mean that they can foreclose on the collateral that you offered as security for your loan. In cases of unsecured debt, they can hire collection agencies or take you to court.
There is much in loan contracts that can be disputed, and most creditors would rather settle debt issues out of court through mediation. Their goal is to get their money, not necessarily take you to the cleaners. Creditor's rights mediation is a great way to come to a mutually beneficial agreement quickly and with privacy. However, you may need representation, and Mediation.com is the resource for your needs.