COVID-19 Extended Payment Break application Loading ... 1 Getting Started2 Your Details3 Review & Submit Please apply separately for an extended break on each mortgage account if you have more than one.Getting StartedI would like to..*Please selectApply for my first COVID-19 payment breakExtend my payment break for a further 3 months You will need your mortgage account number. You will need your mortgage account number and unique reference number from the letter we sent you entitled ‘An update on the payment break on your mortgage loan’. Before you apply, we need to ask you some questions. Please read the following Payment Break criteria and follow the instructions. NOTE: If you feel you don’t meet these criteria we may still be able to help you – submit the form and one of our agents will call you to discuss your application. I confirm that: This is a precautionary request1 (my income has not reduced but I require a safety net) or it reflects a temporary reduction in my income which has occurred as a result of the current health crisis and I was not concerned about my ability to meet my repayments prior to COVID-19. I am not in a forbearance arrangement with the Bank or, if I am, I have met all terms and conditions for a minimum of 12 months. I was not in arrears prior to March 2020 on any mortgage account or other BOI loan. My mortgage loan was approved or drawn down prior to 17 March 2020. I am aware that: The extended payment break means I will pay more interest over the life of my mortgage loan than would be the case if it was not put in place, resulting in an increased cost of credit. That is because I will make no repayments (capital or interest) during the payment extended break period, while interest will continue to apply to the mortgage. My mortgage repayments will increase after the payment break, and that the mortgage term will not be extended (unless you and we have agreed a different arrangement). 1. I understand I will pay more interest so I should only apply for a payment break if I need one. I have read and confirm that I understand the above* Yes Your DetailsIMPORTANT: Your name(s) and mortgage account number must match your mortgage statement we sent you in January. If you’re unsure, call us on 01 6113333.COVID-19: Payment Break extension to 6 monthsIMPORTANT: To complete this form you’ll need your mortgage account number and 4-digit unique reference number from the letter we sent you. If you’re unsure, call us on 01 6113333. Your mortgage account number*Your unique reference number*From the letter we sent you.Reason for extending your break by 3 months*Please selectTemporary Job Loss due to COVID-19Temporary Income reduction due to COVID-19Precautionary, no current income impact due to COVID-19Unable to work due to COVID-19Address line 1*Address line 2*Address line 3Country*Please selectIrelandAustriaBelgiumBulgariaCroatiaCyprusCzech RepublicDenmarkEstoniaFinlandFranceGermanyGreeceHungaryItalyLatviaLithuaniaLuxembourgMaltaNetherlandsPolandPortugalRomaniaSlovakiaSloveniaSpainSwedenUnited KingdomAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua And BarbudaArgentinaArmeniaArubaAustraliaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelizeBeninBermudaBhutanBolivia, Plurinational State OfBonaire, Sint Eustatius And SabaBosnia And HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, The Democratic Republic Of TheCook IslandsCosta RicaCote D'IvoireCubaCuraDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGhanaGibraltarGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandsHoly See (Vatican City State)HondurasHong KongIcelandIndiaIndonesiaIran, Islamic Republic OfIraqIrelandIsle Of ManIsraelJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic OfKorea, Republic OfKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLebanonLesothoLiberiaLibyaLiechtensteinMacaoMacedonia, The Former Yugoslav Republic OfMadagascarMalawiMalaysiaMaldivesMaliMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States OfMoldova, Republic OfMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State OfPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPuerto RicoQatarReunionRussian FederationRwandaSaint BarthSaint Helena, Ascension And Tristan Da CunhaSaint Kitts And NevisSaint LuciaSaint Martin (French Part)Saint Pierre And MiquelonSaint Vincent And The GrenadinesSamoaSan MarinoSao Tome And PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch Part)Solomon IslandsSomaliaSouth AfricaSouth Georgia And The South Sandwich IslandsSouth SudanSri LankaSudanSurinameSvalbard And Jan MayenSwazilandSwitzerlandSyrian Arab RepublicTaiwan, Province Of ChinaTajikistanTanzania, United Republic OfThailandTimor-LesteTogoTokelauTongaTrinidad And TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuela, Bolivarian Republic OfViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis And FutunaWestern SaharaYemenZambiaZimbabweCounty*Please selectDublinCarlowCavanClareCorkDonegalGalwayKerryKildareKilkennyLaoisLeitrimLimerickLongfordLouthMayoMeathMonaghanOffalyRoscommonSligoTipperaryWaterfordWestmeathWexfordWicklowPost code*Is this a sole or joint account?*SoleJointCustomer 1 DetailsCustomer DetailsFirst name*Surname*Date of birth* Date Format: DD slash MM slash YYYY Mobile number*For example - (0800000000)Email address* Enter Email Confirm Email Your current occupation / income Are you self-employed?Tick if 'Yes' Yes Your occupation*Please selectAccountantActorActuaryAdvertising executiveAir cabin staffAmbassador/diplomatAnalystArchitectArmy officerArtistAssemblerAssembly line workerAssessorAuctioneer/valuerAuthorBailiffBank managerBank officialBar staffBarrister/lawyerBeauticianBog workerBookkeeperBookmakerBuilderBusiness executiveButcherCardiographerCarpenterCaretakerCartographerCashierChef/cookChemist/biochemistChildminderChiropodistCivil servant – executiveCivil servant – juniorCleanerClergyClerical workerCommercial travellerCompany directorCompany secretaryComputer operatorComputer programmerConstruction workerConsultantConsultant – businessConsultant – financialCourierCraftsmanCuratorDealerDentistDesignerDetectiveDieticianDoctorDraughtspersonDressmaker/tailorDriverEconomistEditorElectricianEngineerEntertainerEstate agentFactory workerFarmerFarm workerFinancial controllerFirefighterFishingFitterFloristForepersonForesterGarda – otherGarda – rankedGardenerGeneral managerGeologistGlazierHairdresserHealth inspectorHospital orderlyHousekeeperIndustrial designerInsurance agentInterior decoratorJewellerJournalistJudgeLaboratory technicianLabourerLecturerLibrarianLifeguardMachinistManager – cateringManager – financial institutionManaging directorManager – medium-sized businessManager – small businessMathematicianMechanicMedical practitionerMetal workerMessengerMidwifeMinerMusicianNurseOpticianOther - non manualOther - professionalOther - skilled manualOther - unskilled manualPainterPanel beaterPawnbrokerHuman Resources officerPharmacistPhotographerPhysiotherapistPhysiologistPilot/navigatorPlastererPlumberPolice officer – rankedPolice officer – otherPoliticianPorterPostal workerProduction managerOwner – large businessOwner – small businessPrinterPsychiatristPublicanPublisherRadiographerReceptionistReporterRegistrarReligiousResearcherSailorSales assistantSalespersonSales managerScientistSecretarySecurity officerSheetmetal workerShips officerShoemakerShopkeeperSocial workerSolicitorStockbrokerStudentSupervisorSurgeonSurveyorTaxi driverTeacher – physical edTeacher – primaryTeacher – secondaryTeacher – principalTeacher – vocationalTechnicianTelephone operatorTelephone technicianTextile workerTherapistTraderTransport operatorTypistUndertakerVeterinary surgeonWaiterWardenWelderYouth employment/trainingWhat was your annual income before COVID-19?*Please selectUnder €40,000€40,000-€60,000€60,000-€80,000€80,000-€100,000€100,000-€125,000€125,000-€150,000More than €150,000Is there another income earner in the household?*YesNoHave you availed of a Payment Break on any other borrowing?*YesNoAre you receiving a COVID-19 payment from the Irish Government?*YesNoCustomer 2 DetailsFirst name*Surname*Date of birth* Date Format: DD slash MM slash YYYY Mobile number*For example - (0800000000)Email address* Enter Email Confirm Email Your current occupation / income Are you self-employed?Tick if 'Yes' Yes Your occupation*Please selectAccountantActorActuaryAdvertising executiveAir cabin staffAmbassador/diplomatAnalystArchitectArmy officerArtistAssemblerAssembly line workerAssessorAuctioneer/valuerAuthorBailiffBank managerBank officialBar staffBarrister/lawyerBeauticianBog workerBookkeeperBookmakerBuilderBusiness executiveButcherCardiographerCarpenterCaretakerCartographerCashierChef/cookChemist/biochemistChildminderChiropodistCivil servant – executiveCivil servant – juniorCleanerClergyClerical workerCommercial travellerCompany directorCompany secretaryComputer operatorComputer programmerConstruction workerConsultantConsultant – businessConsultant – financialCourierCraftsmanCuratorDealerDentistDesignerDetectiveDieticianDoctorDraughtspersonDressmaker/tailorDriverEconomistEditorElectricianEngineerEntertainerEstate agentFactory workerFarmerFarm workerFinancial controllerFirefighterFishingFitterFloristForepersonForesterGarda – otherGarda – rankedGardenerGeneral managerGeologistGlazierHairdresserHealth inspectorHospital orderlyHousekeeperIndustrial designerInsurance agentInterior decoratorJewellerJournalistJudgeLaboratory technicianLabourerLecturerLibrarianLifeguardMachinistManager – cateringManager – financial institutionManaging directorManager – medium-sized businessManager – small businessMathematicianMechanicMedical practitionerMetal workerMessengerMidwifeMinerMusicianNurseOpticianOther - non manualOther - professionalOther - skilled manualOther - unskilled manualPainterPanel beaterPawnbrokerHuman Resources officerPharmacistPhotographerPhysiotherapistPhysiologistPilot/navigatorPlastererPlumberPolice officer – rankedPolice officer – otherPoliticianPorterPostal workerProduction managerOwner – large businessOwner – small businessPrinterPsychiatristPublicanPublisherRadiographerReceptionistReporterRegistrarReligiousResearcherSailorSales assistantSalespersonSales managerScientistSecretarySecurity officerSheetmetal workerShips officerShoemakerShopkeeperSocial workerSolicitorStockbrokerStudentSupervisorSurgeonSurveyorTaxi driverTeacher – physical edTeacher – primaryTeacher – secondaryTeacher – principalTeacher – vocationalTechnicianTelephone operatorTelephone technicianTextile workerTherapistTraderTransport operatorTypistUndertakerVeterinary surgeonWaiterWardenWelderYouth employment/trainingWhat was your annual income before COVID-19?*Please selectUnder €40,000€40,000-€60,000€60,000-€80,000€80,000-€100,000€100,000-€125,000€125,000-€150,000More than €150,000Is there another income earner in the household?*YesNoHave you availed of a Payment Break on any other borrowing?*YesNoAre you receiving a COVID-19 payment from the Irish Government?*YesNoCustomer 3 DetailsFirst nameSurnameDate of birth Date Format: DD slash MM slash YYYY Mobile numberFor example - (0800000000)Email address Enter Email Confirm Email Your current occupation / income Are you self-employed?Tick if 'Yes' Yes Your occupationPlease selectAccountantActorActuaryAdvertising executiveAir cabin staffAmbassador/diplomatAnalystArchitectArmy officerArtistAssemblerAssembly line workerAssessorAuctioneer/valuerAuthorBailiffBank managerBank officialBar staffBarrister/lawyerBeauticianBog workerBookkeeperBookmakerBuilderBusiness executiveButcherCardiographerCarpenterCaretakerCartographerCashierChef/cookChemist/biochemistChildminderChiropodistCivil servant – executiveCivil servant – juniorCleanerClergyClerical workerCommercial travellerCompany directorCompany secretaryComputer operatorComputer programmerConstruction workerConsultantConsultant – businessConsultant – financialCourierCraftsmanCuratorDealerDentistDesignerDetectiveDieticianDoctorDraughtspersonDressmaker/tailorDriverEconomistEditorElectricianEngineerEntertainerEstate agentFactory workerFarmerFarm workerFinancial controllerFirefighterFishingFitterFloristForepersonForesterGarda – otherGarda – rankedGardenerGeneral managerGeologistGlazierHairdresserHealth inspectorHospital orderlyHousekeeperIndustrial designerInsurance agentInterior decoratorJewellerJournalistJudgeLaboratory technicianLabourerLecturerLibrarianLifeguardMachinistManager – cateringManager – financial institutionManaging directorManager – medium-sized businessManager – small businessMathematicianMechanicMedical practitionerMetal workerMessengerMidwifeMinerMusicianNurseOpticianOther - non manualOther - professionalOther - skilled manualOther - unskilled manualPainterPanel beaterPawnbrokerHuman Resources officerPharmacistPhotographerPhysiotherapistPhysiologistPilot/navigatorPlastererPlumberPolice officer – rankedPolice officer – otherPoliticianPorterPostal workerProduction managerOwner – large businessOwner – small businessPrinterPsychiatristPublicanPublisherRadiographerReceptionistReporterRegistrarReligiousResearcherSailorSales assistantSalespersonSales managerScientistSecretarySecurity officerSheetmetal workerShips officerShoemakerShopkeeperSocial workerSolicitorStockbrokerStudentSupervisorSurgeonSurveyorTaxi driverTeacher – physical edTeacher – primaryTeacher – secondaryTeacher – principalTeacher – vocationalTechnicianTelephone operatorTelephone technicianTextile workerTherapistTraderTransport operatorTypistUndertakerVeterinary surgeonWaiterWardenWelderYouth employment/trainingWhat was your annual income before COVID-19?Please selectUnder €40,000€40,000-€60,000€60,000-€80,000€80,000-€100,000€100,000-€125,000€125,000-€150,000More than €150,000Is there another income earner in the household?YesNoHave you availed of a Payment Break on any other borrowing?YesNoAre you receiving a COVID-19 payment from the Irish Government?YesNoYour RequestPurpose of mortgage payment break*Please selectTemporary Job Loss due to COVID-19Temporary Income reduction due to COVID-19Precautionary, no current income impact due to COVID-19Unable to work due to COVID-19Number of months requested*If you wish to apply for a longer payment break call us on 01 6113333.3Mortgage account number (this can be found on your mortgage statement)* It seems your mortgage account number has too many digits. If your mortgage is with BoI in Northern Ireland or UK please click here. Payment break commencement date - (date of your mortgage payment)*In general it can take up to 10 working days to implement a payment break. If you have a more urgent need for assistance you will find more info in our FAQs. NOTE: Latest date for COVID-19 Payment Break applications is 30 September 2020. Payment break commencement date - (date of your mortgage payment)* Your marketing preferencesWe'd like to contact you occasionally with news of products, services and offers from Bank of Ireland Group and select trusted partners. Find out more When you give us permission to get in touch, you are allowing members of Bank of Ireland Group to send you information about relevant products, services and offers. We will only send you information that we believe will be of interest to you, can make your life easier, or offer you value for money. You are always in control of your data. You can change your marketing preferences at any time online or by calling us on 01 688 3674. You can also tell us to stop sending you marketing emails by using the unsubscribe option at the end of each marketing email. To find out more about how we manage your marketing preferences and personal data, click here. You choose the way we contact you. This can be through any combination of email, phone, post, text, digital or other electronic messages. Digital messaging includes displaying relevant messages through social media in secure format. Bank of Ireland Group includes the following companies. Bank of Ireland, Bank of Ireland Mortgage Bank, Bank of Ireland Insurance Services Limited, Bank of Ireland Leasing Limited and New Ireland Assurance Company plc. Would you like to hear from us?YesNoHow can we get in touch? Select All Email SMS/Digital Phone Post Can we analyse your transactions to help identify products, services and offers that may be of interest to you?The more you allow us to know about you, the better we can make your experience with the Bank of Ireland Group. Having consent to analyse your individual transaction data allows us to personalise product and offer information you receive from Bank of Ireland Group. Show me examples Examples Examples for instance could include regular monthly deposits. These may identify you as someone who could be interested in a particular savings product. Similarly, when you draw down your Bank of Ireland mortgage, home insurance is an important consideration. Read our Data Protection Notice which describes how we process personal information, and why. YesNo When you submit this form, we will use what you’ve told us here to update any previous marketing preferences you’ve given us. You can change your preferences at any time online or by calling us on 01 688 3674. Bank of Ireland Mortgage Bank trading as Bank of Ireland Mortgages is regulated by the Central Bank of Ireland. Bank of Ireland trading as The Mortgage Store – powered by Bank of Ireland is regulated by the Central Bank of Ireland. Bank of Ireland is regulated by the Central Bank of Ireland. Review & Submit{all_fields:nohidden,admin,exclude[71|72|81|83]}NameThis field is for validation purposes and should be left unchanged.
