Email Assessment

 

* In sending this email you agree for us to store information about you and your enquiry. Everything you tell us will be treated confidentially under the Data Protection Act 1988.

Your Name (required)

Your Email (required)

Address (required)

Telephone (required)

If we call you, can we leave a message? (required)
YesNo

Please tell us your date of birth (required)

Have you contacted Citizens Advice before?

YesNo

What is your enquiry about? (required)
Please select all that apply

Please give us brief details about the issue(required)

Please tell us about any action you have taken, if any

Please tell us about deadlines such as court dates, letters sent etc

Please tell us about anything else you want to discuss with us or feel we should know

Please select your nearest New Forest Citizens Advice Bureau branch

PERMISSION TO SHARE DATA FOR FEEDBACK PURPOSES
Citizens Advice, or a trusted research partner, may wish to contact you (email or text) to ask for your feedback on the service you have received or to discuss the outcome of your case. Do you grant us permission to contact you at a later date?
YesNo

If you agree how may we contact you?
Mobile phone:
OK to leave a message? YesNo
OK to send a text? YesNo
Email:
OK to send an email?YesNo

In sending this email you agree for us to store information about you and your enquiry. Everything you tell us will be treated confidentially. under the Data Protection Act 1988.

Security Check - Please answer the following question(required).

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