Loan repayment enquiry form

Loan Repayment Enquiry Form

We’d like to talk to you about your Variable Rate Business Loan. We will be in touch to talk through the options available to you once you have completed the below form.

Personal data

Any information that you share with us will be used only for the purpose of discussing your loan repayment.

If you share your personal information with us, we will manage it in line with Bank of Ireland UK’s Privacy Notice. If you are happy to proceed, please provide your details below.
Your name*
Name on the account*
Business name on the account as it appears on your loan statement or bank account.
8 digit loan account number*
This can be found on your letter or your loan statement.
Contact phone number*
Please provide a phone number as we will need to contact you.
Email address
Reason for enquiry*
- I have considered my circumstances and wish to change my repayments
- I have considered my circumstances and would like to discuss further with an advisor
I confirm that I have authority to submit this application form on behalf of all parties on the account.*
- I confirm that I have authority to submit this application form on behalf of all parties on the account.
If you do not have authority, please do not proceed.
Name
This field is for validation purposes and should be left unchanged.