IF COMPLETING THE BELOW FORM, Please view the authority forms available on our website (You will be required to sign these during your appointment).
1.1 Personal Information - General
If yes and you are applying for debts related to Household expenses such as electricity, gas, water or rent you must complete details of other Adults living in the house.
Section 1 Continued
Please select one answer for each question
* UK, NZ, USA, Ireland, Canada or South Africa
Section 2 Continued
Please fill in the below income and expenditure to the best of your ability. If a field does not apply, leave it blank. Please leave the TOTAL fields blank.
Section 3 Continued
Paperwork Checklist for Appointment
(Having as many of these with you as you can, will help us in assisting you. The minimum required for utility help is Bank Statements, Payslips/Centrelink Income and Asset Statement, copy of bill.)
If Self-Employed additional documents which would be helpful are:
Additional Paperwork Required For Other Debts
If you are having trouble obtaining these items, contact our office to discuss ASAP.
We are able to photocopy these documents in our office, however there may be a short wait time. If you need to discuss anything, require assistance with completion of these forms or obtaining your documents, please phone or visit our office to discuss.
Address: 2 Tuart Avenue, MANDURAH WA 6210 (In front of Mandurah Library on Pinjarra Road)
Our office hours open to public are:
Office times are subject to change according to staff availability. If we are not available, please feel free to leave us a message on 9581 1281, and we will return your call as soon as possible.