Hardship Assessment - COVID-19

Required fields are marked with an asterisk (*).
Contact Details
Have you been directly impacted by COVID-19? *
Are you out of work as a result of COVID-19? *
Is your business on the list of government restrictions due to COVID-19? *
Have you received or been approved for a government stimulus package after 1 March 2020? *
Have you received or are you eligible for a government income support benefit after 1 March 2020? *
Payment Arrangements
You will be asked to enter into a payment arrangement for the period concluding 31 August 2020. Please confirm the basis on which you would like to make payments. *