Hardship Letter Templates

Use these fillable templates to request payment plans, fee waivers, or financial assistance from utility providers, landlords, hospitals, or other service agencies.

Fillable Templates by Category

Download Fillable DOCX (Utilities) Download Fillable DOCX (Rent) Download Fillable PDF (Medical)

Fillable Bundle

Download Fillable PDF (Utilities, Rent, Medical, General)

Note: These templates are for informational use only. Always check with your provider or agency for specific requirements.