Your Statement of Financial Position

Please complete the form below to help formalise a new payment arrangement.

You'll need to know details about your income, expenses and any loan/debt repayments you have.

Please remember to also provide any other applicable documents we've requested.

If you are unsure, please call us on 1300 324 746 or email us at

What would you like your new payment plan to be?

Your income situation

Your regular expenses

Your debts (such as loans, credit cards, store cards etc.)

Please list type of debt, total amount you owe and your repayment per week/fortnight or month.
E.g. AGC store card, $1500 owed, $28 per week