Subject: Request for more time to pay — invoice [NUMBER], due date [DATE]

Customer number: [NUMBER]

I request more time to pay the invoice so that the new due date is [DATE —
CHOOSE A REALISTIC ONE, FOR EXAMPLE YOUR NEXT PAY OR BENEFIT DAY].

The reason for the request is temporary: [BRIEFLY — for example a delayed
benefit decision, a lay-off, sick leave]. I will pay the invoice in full on
the new due date. [OR: I propose splitting the invoice into two
instalments: DATES AND AMOUNTS.]

I request written confirmation of the new due date (for example by email
or text message) and information on any charges.

[DATE]
[NAME, PHONE NUMBER]