PERSONAL DETAILS

Full name

Loan reference number

(If known)

Date of birth

Email address

Telephone number

Address

Postcode

YOUR CIRCUMSTANCES

Please answer Yes or No to the following questions.

Have your circumstances changed due to COVID-19?

YesNo
If yes, please tell us why you need support to manage your loan repayments and one of our team will contact you.

Has your individual income changed?

YesNo
If yes, please provide more information.

Has your household income changed?

YesNo
If yes, please provide more information.

Have you been made redundant since 1st March ? (Will not return to your previous job)

YesNo

Are you on Furlough Leave – this is where you remain employed but are currently not at work or unable to work?


YesNo

Are you temporarily unable to work due to caring for a family member or child during COVID-19?


YesNo

Are you self-employed and unable to trade at the moment?

YesNo

If you are self employed, what other financial support have you applied for?

Current loan instalment?

Frequency of payment

WeeklyFortnightly4 WeeklyMonthly

Are you currently in arrears?

YesNo

What support are you asking for?

Reduced paymentsPayment holidayExtend my loan termEarly settlementA further loanDon't know

What level of payment plan can you afford?

Please use the space below to tell us any other information that will help us consider your request as quickly as possible.

Other information

Conduit will consider Covid-19 related requests for support for three months until 24th July 2020. Where these are agreed, you will not be charged additional interest. Providing any agreed payment plans are maintained, this will not affect your credit history or eligibility for another Conduit loan in the future.