Please use this form to submit a payment for your account.  BEFORE SUBMITTING THIS FORM, BE CERTAIN THAT THE AMOUNT YOU ARE AUTHORIZING IS AVAILABLE TODAY. For Check/ACH payments, please verify the routing and account numbers are identical to the numbers printed on your check.  DO NOT USE THE NUMBERS FROM A DEPOSIT SLIP.  If your draft payment is returned by your bank for any reason, you will be assessed your contractual NSF fee.

Thank you!


* Required Information

*Your CRG Account #:

* Check Routing #:

* Checking Account #:

Check #:

* Primary Signor Name:

* Amount Authorized:

*Your Telephone #:

*Your E-Mail Address:

Other Pertinent Info:


Some agency names sound similar. Before submitting your payment information, please
be certain you are paying the correct agency.

located in Aiken, South Carolina. Formerly located in Escondido, California.
Credit Card Submission Form:
*Note we cannot accept American Express
​*Required Information                                                 
*Your CRG Account #:

*Credit Card #:

*Expiration Date:     

​*CVV Code:

*Name on Card:
​*Billing Zip Code:

*Amount Authorized: 

*Your Telephone #:

*Your Email Address:

Other Pertinent Info:

By clicking on “Submit” I hereby authorize you to initiate an electronic withdrawal from the above indicated bank account in the amount entered on this page. I understand that if this transaction is submitted after 6:00p Eastern Time, it will have an effective date of no sooner than the next business-banking day and will show as a withdrawal from my account on that date. If I wish to rescind this authorization and cancel this payment, or the amount withdrawn from my account is different than the amount authorized herein, I may call 800-738-9630 between 8:30a and 5:00p Eastern time, Monday-Friday. Furthermore, I assert that I am the owner or an authorized signer of the bank account provided.