Online Enquiry Form for Residents of Rossendale & Hyndburn and referring agencies
***COVID 19: Our face to face services remain suspended to reduce risk of infection. We are continuing to deliver telephone and email advice and are now piloting remote appointments via video call.***

We aim to respond to your enquiry within five working days. If you enquiry is urgent, please call our Adviceline on 0300 456 2552 (Monday to Friday 10.00 am - 4.00 pm).

If you live outside the boroughs of Rossendale & Hyndburn, please check for your local office.

Residents of Blackburn should contact Lancashire West Citizens Advice -
Date *
If you are completing this form on behalf of another person, please provide your name, agency and contact details.
If you are completing this form on behalf of another person, please also confirm that they have consented for us to contact them.
Clear selection
Name of person needing advice *
Post code *
House number *
Phone number/s *
Can we text you? *
Can we leave a message? *
E-mail address *
Confirm E-mail address *
Can we email you? *
We need to record information about you to help with your enquiry and have a legitimate interest to do this. For more information about our Privacy Policy, see - Please confirm that you have read our Privacy Policy. *
We need your consent to record and use your special category personal data We need your explicit consent to use some information. 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. Yes, I consent to you holding information on my (please tick all of those you agree to, particularly if it relates to your enquiry) *
Please let us know what your enquiry is about: *
Please provide brief details about your enquiry, eg, relevant dates/time limits, type of housing, health issues, etc, as appropriate. *
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 date so that we hear from different groups.Please indicate below if you agree to us getting in touch. ) *
Never submit passwords through Google Forms.
This form was created inside of