Funnelled Debt FormPlease enable JavaScript in your browser to complete this form.Total Amount of Debt *£5,000 - £10,000£10,000 - £20,000£20,000 or moreHow much do you owe in total?Your Income *EmploymentBenefitsPensionSelf-EmploymentNo IncomeOtherWhere does your income come from? Select one or moreWhat Debts Do You Need Help With? *LoansCredit Cards / Store CardsCouncil TaxMortgage / Rent ArrearsBenefits OverpaymentBusiness DebtsCatalogues / Buy Now Pay LaterOther DebtsSelect one or moreWhy Are You Concerned About Your Debt? *I'm Struggling GenerallyMissed PaymentsPossible Legal ActionCCJ IssuedBailiffs InvolvedOtherSelect one or moreName *FirstLastPhone Number *Submit