Notice of Financial Difficulty

Notice of Financial Difficulty
We understand that things happen and unforeseen circumstances may inhibit your ability to pay on time. PHILLIPS Management remains committed to working with our residents to provide an alternative payment option whenever possible.

If you are experiencing a financial difficulty or hardship, please complete this form.

Upon submission, your property management team will be notified of your circumstances and a team member will reach out to you within 1 to 3 business days. Please note that our response time is dependent on the volume of requests coming in. We will do our best to respond as soon as possible however, we ask that you refrain from submitting multiple inquiries. This will slow down our ability to respond.
Please select your Community:*

Contact Information
Submitter Name*

First NameLast Name
Phone Number*
Email*
example@example.com
Resident*
The resident associated with this request.
Are you a resident with us?*

I am a current resident.I am a past resident.I am a future resident.I am the guarantor for a current resident.I am the guarantor for a past resident.I am the guarantor for a future resident.
What is / was the unit number associated with this submission?*

IMPORTANT MESSAGE
Please note that your submission does NOT guarantee that an alternative payment solution will be issued/granted.

Once your submission has been received, our staff will review and reach out to you via email in 1-3 business days. Note that this time frame is an estimate. Actual response times will vary depending on the volume of incoming requests.

Notice of Financial Difficulty
Are you having trouble paying a specific charge(s) or your entire balance?*

Specific Charge(s)Full Balance
Which charges?
ex: April Rent, Late Fees, etc.
Please specify the total amount that you are having trouble paying.*
If you are currently unable to pay, when would you be able to start making payments?*

MonthDayYear
Date
Are you interested in a payment plan option?*

YesNo
If you are not interested in a payment plan, please briefly explain why. If possible, please also include an alternative option.
What would be your preferred payment frequency?
What would be your preferred payment amount?
Please provide additional details regarding your preferred payment schedule.

Notice of Financial Difficulty
Please select the main reason behind your financial hardship.*

Job LossDeathReduced IncomeDivorceMedical Illness or InjuryOther
Please provide additional details related to the reason behind your financial hardship*
Please submit documentation to support your claim*

ex: Termination notice, proof of lost wages, etc.
Cancelof
resident_id
Should be Empty:

Contact Information