Your Name (required)

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Is there a phone number we can call you back on?

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If we cannot contact you, can we leave you a voicemail and/or text message? (required)

BothText MessageVoicemailNo

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Please tell us more about the help you need (max: 10,000 characters)

Please tell us if any of the following apply:

I need money advice and help to manage my debts YesNo

I need advice because I am a homeless/at risk of being made homeless YesNo

I need advice because I have a disability YesNo

If we assess that a face to face appointment is necessary to progress your case, please confirm which office(s) you are able to attend (NB. appointments are allocated on a first come first served basis and we may be able to assist you sooner if you are able to access both sites).

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PRIVACY

We need to record information about you to help with your enquiry. We have a legitimate interest to do this. When we record and use your personal information we:

• Only access it when we have a good reason

• Only share what is necessary and relevant

• Don’t sell it to commercial organisations

We handle and store your personal information in line with the law – including the General Data Protection Regulation and the Data Protection Act 2018.

We need your explicit consent to collect some information, including your ethnicity, religion, health conditions, sexual orientation, trade union membership and political opinion.

If you agree, we’ll use this information, which is known as ‘special category personal data’ to:

• give you advice

• help us gather data to improve our service

• support our research in a way that you can’t be identified

The record of your case will be stored securely on a shared electronic case management system accessed by members of the Citizens Advice service. To comply with the General Data Protection Regulations we must tell you how we use this data and ask for your explicit consent to record any special category data.

For more details of our Privacy Policy please click here

Do you give your consent for the Citizens Advice service to process and use your special category personal information? This information will be kept confidential to the Citizens Advice service. Please tick the categories below you give consent to for Citizens Advice to process.

Disability or Health ConditionsEthnicityReligionSexual OrientationTrade Union AffiliationNone

Can we contact you for feedback?

We want to make sure our service meets your needs. To help us understand how we’re doing and to improve our service, we may want to contact you at a later date to ask for your feedback. Sometimes we need a trusted research organisation to help us do that.

We’ll decide who we contact for feedback based on the services you used and the advice area. We may also use your special category data so that we hear from different groups.

Feedback Consent

Please tick the box below if you agree to us getting in touch

I agree to Citizens Advice selecting me for feedback using my information and contacting me YesNo

Can we send you occasional emails about changes to our services and changes to the law?
YesNo

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