Income & Expenditure Form.
 

Step 1
Please provide some basic details.

Step 2
Request an access code on the next page. We’ll send you this by text. 

Step 3
Complete your form online.
 

Please call us on 0800 169 9722* if you need help.
 

Can’t complete the form in one go?
Don’t worry – you can save your information at any point and come back to it. We’ll send you a link by email when you complete step 1. When you’re ready, use the link to pick up where you left off.
 
 

First name
 
 
 
 

Last name
 
 
 
 

Mobile phone no.
 
 
 
 

Email address
 
 
 
 
 
 

Return to Bank of Ireland UK
 
 

* All calls are recorded for monitoring purposes. Lines are open 9am-5pm Monday to Friday.
 
 
 
 

Income & Expenditure Form
 

We’ll send you your code by text. This will be a unique six digit number and will become invalid once you’ve used it.
 
 
 
 

Thanks for requesting your access code. You should receive it within a couple of minutes.
 
 

Enter access code
 
 

If you don’t receive your code please go back and make sure your mobile number is correct and try again. If you’re still having problems, please send us a paper form.
 
 
 
 
 
 
 
 
 
 
 
 
 

Financial Statement Form
Customer Information
 

Step 1 out of 9
 
 

If you're experiencing financial difficulty, we're here to help you. Please complete an income and expenditure form so we can understand your financial situation. We'll then be able offer a solution that's best for you. 

The form should take about half hour to complete. You can save your details at any point and come back to it later on.

It's useful to have the following information to hand so you can complete the form easily. You'll need the same information for each person named on the mortgage account.
 
  • Income (payslips, accounts)
  • Outgoings (debts)
  • Savings
  • Investments.
 
 
 
 
 
 

Mortgage details
 
 

Mortgage account number
 
 

Correspondence address
 
 

First name
 
 

Last name
 
 

Home phone no.
 
 

Mobile phone no.
 
 

Work phone no.
 
 

Email address
 
 

What's your intended retirement age (if applicable)?
 
 

How many people are named on the mortgage?
 
 
 

Unfortunately, as there are more than 2 people named on the mortgage you're unable to continue online. Please download/print a copy of the form to complete and send to us. If you're unable to this, please request a copy which we'll send by post. All those named on the mortgage will need to provide their details.
 
Paper form
 
Request a copy
 
 
 
 
 
 

Borrower 2 contact information
 
 

First name
 
 

Last name
 
 

Home phone no.
 
 

Mobile phone no.
 
 

Work phone no.
 
 

Email address
 
 

What's your intended retirement age (if applicable)?
 
 
 
 
There are errors in the form. Please fix them and submit again
 
 
 
 
 
 

You & Your Household
 

Step 2 out of 9
 
 

Tell us about your household and employment. Please provide a combined total for all borrowers whether you're living at the same address or not. E.g. dependants and vehicles may be shared by more than one borrower – you only need to tell us about each once.

 
 
 
 
 
 

Borrower 1
 
 

How many people live in your household?
 
 

How many dependants under the age of 14 do you support financially?

 
 

How many dependants aged 14 or over do you support financially?

 
 

How many vehicles are owned within your household?
 
 

Employment status
 
 

Employment details
 
 

Job title
 
 

How many hours do you normally work per week?
 
 

Do you receive income from a COVID-19 Government support scheme?
 
 

When do you expect to return to work?
 
 
 
 
 
 

Borrower 2
 
 

Employment status
 
 

Employment details
 
 

Job title
 
 

How many hours are you contracted to do per week?

 
 

Do you receive income from a COVID-19 Government support scheme?
 
 

When do you expect to return to work?