COVID-19 Questionnaire

COVID-19 Questionnaire

In accordance with Federal Housing Finance Agency guidelines, Northpointe Bank is committed to servicing the needs of our customers and will respond with options that may be available to you which may include payment forbearance, late charge waivers, suspension of credit reporting, etc. If you have been impacted by COVID-19 and are facing difficulties making your payments, please complete the form below.

Important: Once submitted, we will process your request for information in the order received. We are receiving a high number of requests for information and are working to respond as soon as possible. We expect to respond within 10 days, however, this may extend up to 30 days.

You only need to submit one request for information to be placed in queue. Calling or resubmitting will only create further delays. Thank you for your patience and we look forward to assisting you.

Address *

Additional Loan Numbers

Have you been impacted by COVID-19?

COVID-19 Impact

How have you been impacted by COVID-19? Select all that apply: *
Has your employment, or the employment of any co-borrowers on the mortgage loan been impacted? *


Please specify the type of income you receive *
Which field are you employed in *
Approximate number of persons employed by your employer (total of all locations) *


Best form of contact/communication *