Apply for hardship assistance in relation to COVID-19

Please complete the below form and after reviewing the information you provide us we will be in touch by phone or email to let you know if we need any additional supporting documents.

Name*
First Middle Last
Date of Birth*

DD
MM
YYYY
Contact number*
Email*
Loan account number (if known)
Please select the description which best reflects how you have been affected by COVID-19.*
Please provide any further details you feel are relevant to understanding how COVID-19 has impacted your current circumstances.
Do you expect to be able to make your next due home loan repayment?*
- Yes
- No
Based on your response above, please provide an estimate of how long you believe it will be before you are able to recommence making your home loan repayments.*
What type of support are you seeking?*
Please specify what other type of support you are seeking*
Privacy Consent*
I consent to Australian Finance Group Ltd, and any of its subsidiaries, collecting the personal information I have submitted in this application form and any supporting information I provide in connection with it in the future. This includes any sensitive information I provide now or in the future in connection with this application form.

I understand that AFG Home Loans may contact me by telephone or by email to request further information.

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