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This letter is relevant in England & Wales.

England Wales

Send the Debt and Mental Health Evidence Form (DMHEF) to your creditors (sole name)

Send the Debt and Mental Health Evidence Form (DMHEF) to your creditors

This sample letter covers England and Wales
For a version of this sample letter that covers Scotland, please click here.

Use this letter to send the completed Debt and Mental Health Evidence Form (DMHEF) to your creditors.

You can find information about how to use this letter in our Instructions for using the Debt and Mental Health Evidence Form (DMHEF).

  • Fill in your contact details, account number and any extra information you want to include in the grey shaded areas.
  • Today’s date will be added automatically.
  • Sign each letter.

Letter in joint names

You can choose to send a letter in your own name or in joint names. You may have a debt in joint names, or want to write to your creditors together because you have worked out a joint budget.

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Your address line 1Make sure you include your full address.
Your address line 2
Your address line 3
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Your postcodeDon't forget your postcode.

15th June 2024

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