e.g. A1234567 - you can find this on your latest statement.

Tip: click on current month and year to select from the list.

e.g. mortgage, rent, utilities etc.

The value must be a number that is in pounds only. e.g. 5 = £5

Based on the information you have provided to us, we will create a repayment plan for you for the amount you have stated you can afford to pay every 28 days, which we hope will allow you to bring your account back up to date over time. By submitting this form, you agree to the repayment plan. This affordable reduced payment is due to be paid every 28 days, in accordance with your statement pay date. We will freeze the interest on your account whilst you are on this repayment plan. It is important that you make the payment on or before the payment dates. If for any reason you cannot make the payment amount, or make the payment by the date, we need you to contact us so that we will be better placed to understand how we can further support you. Important information about your repayment plan. If you are unable to make the repayment, then you should contact us to discuss your situation. If you fail to contact us and miss a payment then your repayment plan will be removed, interest will be restored to the account and late payment charges may be applied, if applicable. This is a temporary arrangement, which we will review on a regular basis. If we make any changes to your arrangement, we will send you notification in writing. You can contact us to remove this payment arrangement at any point, should your situation change and you are able to recommence with the full repayments. Your credit facility will be temporarily removed from this and any other account you have with us and this means you won’t be able to place any credit orders on any of your accounts, whilst the arrangement is in place. The agreed payment arrangement will be reflected on your credit file and is regularly updated. This could affect your ability to obtain credit in the future and any late payments will be recorded on your credit file. If your situation improves and you can resume full payments on your account, then please contact us: Call us on – 0345 074 2131 (Monday to Friday 9am to 5pm) Email – customer.management@jdwilliams.co.uk Write to us –Customer Contact Centre, 40 Lever St, Manchester, M1 1BB We work with various organisations who can help support our customers who may be experiencing difficult circumstances including: Step Change – They provide free, impartial debt advice and solutions to anyone struggling with debt problems in the UK. Phone 0800 138 1111 or visit www.stepchange.org PayPlan – They offer free advice throughout the UK to help people who are struggling financially. Phone 0800 280 2816 or visit www.payplan.com You can use any of the payment methods outlined below: Automated Payment line – 0345 074 2087 Online – You will need to log into your online account and select ‘Make a payment’. Direct Debit – You can set a Direct Debit to come out of your account every 28 days under the ‘My payments’ section on your online account. Please be aware: if there is a minimum payment already due, then this will need to be made and your 1st Direct Debit will be taken 14 days after your next statement. Important: if you have a payment protection policy, this will now be cancelled in accordance with the terms of this agreement. You will receive a cancellation notice via the post.

(if you have no further information, please enter N/A)

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