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Financial support contact form

Financial Support

Contacting us for financial support

We're here to help if you're worried about keeping up with your payments.

Please use the form below:

  • if our financial support phone line is busy or closed;
  • if you want to complete our income and expenditure form online.

After we've received your form we'll call you back within five working days. We will try to contact you at your preferred time, but this may not always be possible. Our opening hours are between 9am and 5:30pm, Monday-Friday.

If your query is not about financial support please visit our Help Centre.

If you're providing us with your income and expenditure details

If you're completing the form below to provide us with details of your income and expenditure, please review the examples of a typical household's income and expenditure below. You will need to have this information available to successfully complete the form.

  • Examples of household monthly income

    • monthly wages or salary
    • other monthly income (e.g. self-employment)
    • state and private pensions
    • benefits (including Jobseeker’s Allowance, Income Support, Child Benefits, disability allowances, maternity pay, Statuary Sick Pay)
    • maintenance or child support
    • boarders or lodgers
    • non-dependent contributions
    • student loans/grants
    • any other type of income.

  • Examples of household monthly outgoings (expenditure)

    • mortgage or rent
    • service charges or ground rent
    • insurance costs (e.g. home, car, medical)
    • council tax
    • utility bills
    • telephone costs
    • rental expenses (e.g. appliances, furniture, car/van)
    • vehicle costs (e.g. MOT, servicing, road tax, breakdown cover, parking fees)
    • travel costs
    • secured loans
    • child support or maintenance
    • prescriptions and medical expenses
    • professional courses
    • union fees
    • hobbies, leisure, sport
    • vets bills and pet insurance
    • home repairs
    • any other outgoings.

Financial support and income and expenditure form

Personal details

 

DDMMYYYY

Preferred contact time

If we need to call you back to discuss your current circumstances, please provide the most suitable number and time to call you.

We will try to contact you at your preferred time, but this may not always be possible. Our opening hours are between 9am and 5:30pm, Monday-Friday.

Your financial circumstances

Please tell us why you are having difficulty making your regular payments.

Income and expenditure

Your income and expenditure

This part of the form asks you for information about your current income and expenditure.

If you've completed a similar form with another creditor in the last 30 days, you can attach a copy of that form instead.

Please email your completed form from another creditor to financialsupport@ikano.net, making sure to include your name in the subject line of the email. Then continue to the next step of this form.

Monthly household income

Please tell us about your monthly household income

 Total for household - for example, self-employment £
 (including JobSeekers Allowance, Income Support, Child Benefits, Disability Allowances, Maternity Pay, Statutory Sick Pay)

Your monthly outgoings

Please tell us about your essential monthly outgoings

 (gas, electricity, other household fuels (coal, oil), water) £
HP / conditional sale £
Please provide more information here

Please tell us about any other monthly outgoings

 (including food shopping, clothes, toiletries, baby items including nappies, laundry and dry cleaning, alcohol, smoking products, hairdressing)
(public transport, car including hire purchase or conditional sale vehicle, fuel) £
(MOT, servicing, road tax, breakdown cover, parking charges £)
(including home, car, medical, life) £
(courses, union fees, professional fees £)
Please provide more information here

Other Creditors

Please tell us about your other Creditors (companies or people you owe money to)

Your form is now ready to send

Click Submit to send us the form, or click Back if you want to make any changes.

Thank you

We will be in contact within five working days to let you know the next steps, and if we need any further details from you.

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