Submit a request

Let us know how to best direct your enquiry

Your email address

Firstly, how long might you need assistance?(optional)

This helps us understand what type of support we can offer you.

Description

Please enter the details of your request. A member of our support staff will respond as soon as possible.

Full Name

Date of birth

This will verify who you are. Please format this as DD/MM/YYYY

What is the reason for financial hardship?

Please select the situation that best applies to you.

What is the reason for financial hardship?(optional)

Please tell us more about how your circumstances have changed(optional)

Zip Pay(optional)

Zip Money(optional)

Zip Plus(optional)

Amount(optional)

How much can you pay towards your Zip Pay account?(optional)

Frequency(optional)

Amount(optional)

How much can you pay towards your Zip Money account?(optional)

Frequency(optional)

Amount(optional)

How much can you pay towards your Zip Plus account?(optional)

Frequency(optional)

I understand the impact of not completing my CreditSense check(optional)

Keep an eye out on your email and follow the instructions. CreditSense is a secure and confidential method to assess your income. If you fail to complete this step, your Financial Hardship application may expire.

My Zip account will be locked after submitting this Financial Hardship application, I won’t be able to make purchases with Zip during this period(optional)

My application may take up to 10 business days to review(optional)

I will only submit this form once to avoid delays in assessing my application(optional)

If any repayments are debited after submitting this application, they’ll be refunded to me if Financial Hardship arrangement is approved(optional)

Attachments(optional)

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