Forbearance Request

COVID-19 Hardship Notification Form

All fields are required to submit request

Loan Number:

Borrower First Name:

Borrower Last Name:

Borrower E-mail:

Property ZIP Code:

Have you experienced a financial hardship due to COVID-19 which has impacted the ability to make the required monthly mortgage loan payment including but not limited to, unemployment, reduction in regular work hours, or illness of a borrower/co-borrower or dependent family member?

I understand that by accepting a forbearance plan all unpaid monthly mortgage payments are due at the end of the forbearance period and the required monthly payment is scheduled to resume. Prior to the end of the forbearance period, I understand PHH will contact me to discuss my current status and to review all available options at that time.

It is certified and acknowledged that all of the information provided is truthful, and the hardship I identified contributed to the need for mortgage relief.