Relief Program Application Form

For Citi Credit Card/Citi Ready Credit customers who have been impacted from COVID-19 situation.

* All fields are mandatory.

Product you wish to apply for relief program*

Please choose only one reason that best describes your current situation.

Thank you for filling out the form.
Citibank will contact you within 3 working days after receiving your request.

By clicking Submit,

I agree and grant permission to Citibank to collect and use the information I provided in this form to contact me and evaluate the appropriate relief program(s) and program period.

I hereby abide by Citibank policies and its discretion to consider the appropriate relief program offering subjected to related laws and regulations.

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