Citizens Advice Leeds Email Service
If you would like to submit an enquiry via email, please fill in your details below and we will respond to you within 3 working days. To help us give you the most appropriate advice please provide as much information as you can.
Email address *
This service is not suitable for emergencies or impending deadlines.
The record of your case will be stored in a shared electronic case management system accessed by members of the Citizens Advice Service. We follow nationally agreed policies on client confidentiality and data protection. We will not voluntarily share information about you with anyone unless you give us permission. It is very important that you give us permission to store your information otherwise your query cannot be processed. 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 need to record information about you to help with your enquiry. We have a legitimate interest to do this. If you’d like more information about how we’ll use your data please read our Privacy Policy at https://www.citizensadviceleeds.org.uk/privacy-policy-clients.
Please tick to consent to your data being stored *
Required
Have you used the Citizens Advice Leeds before? *
First Name *
Your answer
Last Name *
Your answer
Date Of Birth
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/
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YYYY
Your Address
Your answer
Your Postcode
Your answer
Your National Insurance Number
Your answer
Contact Phone Number *
Your answer
Is it ok to leave a message ? *
We need your consent to record and use your special category personal data
We need your explicit consent to use 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
We’ll make sure all 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 Citizens Advice.
I consent to you holding information on my Ethnicity, Health Condition , Religion, Sexual Orientation & Trade Union Membership. *
Required
Do you have any disabilities or long term illness? *
Please tell us your Nationality, as the rules can be different for people who are not British Citizens *
Your answer
What is your ethnic origin
Your answer
Do you live with a partner
Do you have any dependant children
If yes, what are their ages ?
Your answer
Are you currently employed ?
Do you receive any benefits ?
How much income do you (and your partner if applicable) receive per month? Give approximate figures if you do not know exactly, include all wages and benefits
Your answer
Where do you live? eg. mortgaged property, council property, private tenant, housing association, staying with friends/relatives
Your answer
Do you have any capital, savings, other properties that are not your main home
If yes please give details
Your answer
How are you hoping we can help you? Please give as much detail as possible *
Your answer
What have you done so far ?
Your answer
There is legal protection if you are treated unfairly because of your race, gender, disability, sexual orientation, age, religion or belief. Do you think this might apply to your situation ?
If we are at capacity we may ask our telephone service to contact you rather than replying by email. Is this OK ? *
We will use the details that you have provided to send you relevant information to help solve your enquiry. If further advice is needed we may offer you an appointment at Citizens Advice Leeds and/or send you details of other organisations who can help. *
Required
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. Please tick the box below if you agree to us getting in touch. *
If we email you to offer you a face–to–face appointment, you must reply to confirm your attendance within two days. If you do not, we will offer the appointment to another client
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