Statement of financial details for debt repayment form (CS4645)
Use this form to provide a statement of your financial details so that we can work out a payment arrangement for you to pay your overdue child support.
It is important that you provide full details of your income, expenses, assets and liabilities to help us decide the most appropriate debt repayment amount.
This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.
If you have a disability or impairment and use assistive technology, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.
Page last updated: 14 March 2019