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.

Download and complete the Statement of financial details for debt repayment form.

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.

To fill in this form digitally you will need a computer and Adobe Acrobat Reader, or a similar program. You can download Adobe Acrobat Reader for free. If you can’t complete the form digitally, you can print it, complete it by hand and return it to us following the instructions on the form.

If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please use self service, request someone to deal with us on your behalf, or contact us. We can help you access, complete and submit them.

Page last updated: 8 November 2023.
QC 19826