Income & Expenditure Form – Financial Statement Income and expenditure (2) - Rebrand If you’ve come to the end of your payment break extension and need longer term help, we’re still here to support you. Please complete an income and expenditure form so we can offer you a solution that best meets your needs. For immediate financial help, or if you need assistance to complete the form, please call us on 0800 1699722*.Please confirm property location*UKROI ROI customers, please click here for details of COVID-19 support. Once we receive your completed form, we’ll be in touch to discuss your circumstances and talk through your options. If you were in arrears when you applied for a payment break, please ensure you also send us the following for each borrower: The last 3 months’ bank statements for all active accounts If employed: Payslips covering the last 3 months Evidence of the last 3 months’ income if payslips are unavailable. If self-employed The last 2 years’ trading/business accounts The last 12 months’ business bank statements The last 3 months’ personal bank statements for all active accounts. Please also enclose any documentation to support your request e.g. Medical evidence (GP or consultant letter) Redundancy notice Sales particulars of a property. If you don't send us this information, we'll be unable to carry out a full assessment of your circumstances and our decision may be delayed. Please do not send original documents. If you weren’t in arrears when your payment break started, we don’t need any of the additional documents listed. If you’ve completed a form for a different lender and none of your details have changed, we may be able to use it to carry out our review. However, we may ask you for more information. Please make sure your Bank of Ireland mortgage account number is provided on the form/with a covering letter. Then send us the form with any relevant documents (see above). Please send everything to: Bank of Ireland, Mortgage Debt Management, PO Box 3191, Bristol, BS1 9HY. To get started online click on the button below.Start now Alternatively, you can download a copy of the form here If you’d prefer, we’ll be happy to post you a copy of the form. Request onlineNameThis field is for validation purposes and should be left unchanged.