Report additional loss in connection with repayment of previously collected debt

If you believe that your business has suffered an indirect loss or other loss in addition to the amount that the business will be repaid, please report this by filling in this form and returning it to us
When we have received the request, we will go through it and contact your business as soon as we possibly can.
If you have any questions about how to fill in the form, please do not hesitate to contact us.

  

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Attach documentation:

Here you can attach files to document your loss. You can upload up to 10 files at a time. Each file cannot exceed 4MB. You can upload most digital photo file formats, as well as Word/docx/doc, Excel/xslx/xls, Pdf, Tekst/txt, Jpeg/jpg, Png or Gif files.

File Size Exceeds the Limit
Delete File Size Exceeds the Limit