Get Financial Hardship Questionnaire

The Financial Hardship Questionnaire is a crucial document for individuals seeking assistance due to financial strain. This guide provides clear, step-by-step instructions to help users fill out the questionnaire accurately and efficiently online.

Follow the steps to complete the Financial Hardship Questionnaire online

1. Click the ‘Get Form’ button to access the questionnaire and open it in your browser.
2. Begin by entering your personal details in the first section. Provide your member number and Centrelink customer reference number as required.
3. Fill in your name, including surname and given names, ensuring all blocks are filled in accurately.
4. Input your date of birth in the specified format (DD/MM/YYYY). Next, complete your address with street number, street name, suburb, state, and postcode.
5. Provide your contact details, including telephone number, mobile number, and email address.
6. Indicate the number and ages of your financial dependents in the appropriate fields.
7. In the section that asks for the cause(s) of your financial hardship, provide a brief explanation of your situation and how the funds will be used if released.
8. Estimate the amount you believe would relieve your current severe financial hardship.
9. List your current net weekly income. Include your income, your partner's income, and any dependents' income.
10. Detail your weekly expenses, itemizing each expense and the corresponding amount.
11. List any current debts along with their amounts and any payments that are overdue.
12. Make sure to read and understand the conditions before declaring your financial hardship. Sign and date the declaration to make your request valid.
13. Finally, review your completed questionnaire, ensuring all fields are filled out correctly, and then save, download, or share the form as needed.

Begin filling out the Financial Hardship Questionnaire online today to take the first step towards resolving your financial challenges.