Enquiry Form Dev Page

Section 1: Your Information

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, and don't sell it to commercial organisations. You can find out more about how use your information in our Privacy Policy. Please would you fill out the following details which should take no longer than 5 minutes to complete:-
Please leave no spaces when inputting your telephone number.
Please leave no spaces when inputting your telephone number.
Please leave no spaces when inputting your telephone number.
PLEASE NOTE: if you do not tick email, we cannot respond that way

Section 2: Your Issue

Section 3: Your Profile

We need your consent to use some information, including your ethnicity, religion, health conditions, sexual orientation and trade union membership. 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, and support our research in a way which you can't be identified. We'll make sure all of your information is kept safe in our secure case management system. By ticking the boxes below, you consent to Citizens Advice recording the special category personal data you choose to provide us with.

Please be aware that if your enquiry mentions any of the categories below we will only be able to help you via this method if you tick the relevant box to give us permission to store your special category data. Otherwise, please contact us by phone on 0300 330 9013

Please tick those you agree to
(If 'yes', please specify in the box below)

Section 4: Submit

We want to make sure the service you receive 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. Sometime we need a trusted research organisations 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 can hear from different groups. Please tick the bow below if you agree to us getting in touch.
Feedback
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