Applying for Financial Hardship Assistance

*Required fields

Personal details

Number of applicants

How many applicants does this hardship application apply to?

Please call Customer Connect on 1800 351 548 to discuss your assistance options

Applicant 1
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*
*
*
*
*
This is the number you use to log on to ANZ internet or phone banking. This will be the number provided to you by ANZ. If you don’t have a CRN or have forgotten it, leave this field blank.
*
Dependants might include a child, spouse, parent, or other relative who receives your financial support.
*
Applicant 2
*
*
*
*
*
*
This is the number you use to log on to ANZ internet or phone banking. This will be the number provided to you by ANZ. If you don’t have a CRN or have forgotten it, leave this field blank.
*
Dependants might include a child, spouse, parent, or other relative who receives your financial support.
*
Details for assistance Details for assistance (combined)
*

(Max 750 characters)

Which accounts do you need assistance with?
*
*

Months

Financial details

Income details

Applicant 1
Are you currently employed?
*
*$
Are you receiving any Centrelink benefits?
*
*$
Do you have any other income?
*
*$
Applicant 2
Are you currently employed?
*
*$
Are you receiving any Centrelink benefits?
*
*$
Do you have any other income?
*
*$

Expense details
$
A regular payment to a landlord (including family or friends) for the use of property or land.
$
This includes any usual household expenses such as food and clothing.
$
This includes home or mobile phone costs, internet expenses, pay TV subscriptions, gas, water, electricity and rates.
$
This includes petrol, insurance, registration, repairs and service.
$
This includes medical, school expenses, and entertainment.
Debts with other financial institutions or organisations
Do you have any mortgages?
*
Delete
*
$
This is the line of credit secured by a mortgage over your property.
*$
*$
Do you have a temporary repayment plan?
*
A repayment plan is an agreement with a lender for either a reduced repayment amount or to spread any late payments over a period of time.
*$
Delete
*
$
This is the line of credit secured by a mortgage over your property.
*$
*$
Do you have a temporary repayment plan?
*
A repayment plan is an agreement with a lender for either a reduced repayment amount or to spread any late payments over a period of time.
*$
Delete
*
$
This is the line of credit secured by a mortgage over your property.
*$
*$
Do you have a temporary repayment plan?
*
A repayment plan is an agreement with a lender for either a reduced repayment amount or to spread any late payments over a period of time.
*$
Delete
*
$
This is the line of credit secured by a mortgage over your property.
*$
*$
Do you have a temporary repayment plan?
*
A repayment plan is an agreement with a lender for either a reduced repayment amount or to spread any late payments over a period of time.
*$
Delete
*
$
This is the line of credit secured by a mortgage over your property.
*$
*$
Do you have a temporary repayment plan?
*
A repayment plan is an agreement with a lender for either a reduced repayment amount or to spread any late payments over a period of time.
*$
Do you have any personal or business loans?
*
Do either of you have any personal or business loans?
*
*
*
*$
*$
*$
Delete
*
*
*$
*$
*$
Delete
*
*
*$
*$
*$
Delete
*
*
*$
*$
*$
Delete
*
*
*$
*$
*$
Delete
Do you have an overdraft facility?
*
Do either of you have an Overdraft facility?
*
*
*
*$
*$
Delete
*
*
*$
*$
Delete
*
*
*$
*$
Delete
*
*
*$
*$
Delete
*
*
*$
*$
Delete
Do you have any other loan/debt?
*
Do either of you have any other loan/debt?
*
*
*
Eg. car loans, hire purchase/lease, overdraft, personal loan, etc.
*
*$
*$
Delete
*
*
Eg. car loans, hire purchase/lease, overdraft, personal loan, etc.
*
*$
*$
Delete
*
*
Eg. car loans, hire purchase/lease, overdraft, personal loan, etc.
*
*$
*$
Delete
*
*
Eg. car loans, hire purchase/lease, overdraft, personal loan, etc.
*
*$
*$
Delete
*
*
Eg. car loans, hire purchase/lease, overdraft, personal loan, etc.
*
*$
*$
Delete
Do you have any credit or store card?
*
*
*$
*$
*$
Do you have a temporary repayment plan?
*
A repayment plan is an agreement with a lender for either a reduced repayment amount or to spread any late payments over a period of time.
*$
Delete
*
*$
*$
*$
Do you have a temporary repayment plan?
*
A repayment plan is an agreement with a lender for either a reduced repayment amount or to spread any late payments over a period of time.
*$
Delete
*
*$
*$
*$
Do you have a temporary repayment plan?
*
A repayment plan is an agreement with a lender for either a reduced repayment amount or to spread any late payments over a period of time.
*$
Delete
*
*$
*$
*$
Do you have a temporary repayment plan?
*
A repayment plan is an agreement with a lender for either a reduced repayment amount or to spread any late payments over a period of time.
*$
Delete
*
*$
*$
*$
Do you have a temporary repayment plan?
*
A repayment plan is an agreement with a lender for either a reduced repayment amount or to spread any late payments over a period of time.
*$