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Confidential help and support

Fill in this form and we'll contact you

A case coordinator will call within 2 working days, 8am–5:30pm Monday to Friday (except public holidays), to discuss your situation and services you're eligible for.

Social and community housing tenants
Please contact your housing provider directly for assistance.

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HardshipCallBack

Your details

Choose which relates to you

I own the property

I'm renting

Account number (if you know it)

Are you a social housing or community housing tenant?

Yes

Sorry, you'll need to contact your housing provider for assistance.

Property address

Given name

Family name

Phone

propertyNo

Your situation

Tick one or more boxes that will help your case coordinator understand your situation.

I'm having financial difficulty and would like to apply for hardship support.

I'm experiencing family or domestic violence.

I can't afford essential plumbing repairs.

Something else?

Is there anything else you'd like us to know before we call you? We'll call you as close as possible to your preferred day and time – just let us know what they are.

Add your comment here

Your privacy
We're collecting your personal information to help us provide the most appropriate assistance for you. It will be kept confidential unless we receive your consent to share it. Find out how we manage your privacy.

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This service is currently unavailable.
We can't receive your request at the moment. Please call us on 1800 222 280 8am–5:30pm Monday to Friday (except public holidays) or email. We apologise for any inconvenience.

Confidential help and support

Fill in this form and we'll contact you

Your details

Your situation

Something else?

Thanks. We've received your request.