Financial Hardship Assistance IGD - IGD Computer Solutions

Financial Hardship

Personal Details

We need your details to verify that you are the account holder.

Customer Account Number

Have you applied for Financial Hardship with us previously? *

Yes
No, this is my first time for this account.

Are you seeking assistance on other accounts with us? *

Account Holder's Name *

Contact Email Address on Your IGD Account *

Best Contact Number *

What's your preferred contact method? *

Email
Phone

Account Holder's Date of Birth *

Financial Hardship

Are you experiencing Finacial Hardship due to COVD-19? *

What type of relief are you seeking? *

Temporary postponement or deferral of payments
Payment arrangement for unpaid or future amounts
Early Termination without penalty
Other

What type of relief are you seeking? (Other Reason)

What is the reason of your Financial Hardship? *

Lost of employment of you or a family member
Illness, physical incapacity, hospitalisation or mental illness of you or a family member
Family breakdown
A death in the family
Being a victim of domestic or family violence
Natural Disaster
Business Loss
Other (please indicate)

What is the reason of your Financial Hardship? (Others, Please Indicate)

Please tell us the amount involved, if known. *

Please attach a document to support your financial Hardship Application. This may be: *
– Centrelink documentation (e.g. Jobseeker payment)
– Medical record
– Bankruptcy notice/insolvency
– Reduced working hours payslip or employer’s letter
– Business financial or sales records showing reduced turnover

Financial Hardship Media Upload

File name:

File size:

Please add any comment you may wish to make regarding your situation. *

Maximum of 500 characters

All personal information collected are handled in accordance to our Collection Notice *

Collection Notice *

I acknowledge that I am providing personal information to IGD Computer Solutions Pty Ltd and that I have read the Collection Notice