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

Step 1 of 5


Are you eligible to apply?


It can be expensive to borrow small amounts of money and borrowing may not solve your money problems.

Check your options before you borrow:
For more information about other options for managing bills and debts, ring 1800 007 007 from anywhere in Australia to talk to a free and independent financial counsellor.

Talk to your electricity, gas, phone or water provider to see if you can work out a payment plan.
If you are on government benefits, ask if you can receive an advance from Centrelink.

The Australian Government’s MoneySmart Website shows you how small amount loans work and suggests other options that may help you.

* This statement is an Australian Government requirement under the National Consumer Credit Protection Act 2009.