Development (Not Indexed) - North Yorkshire Citizens Advice and Law Centre

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Consumer

You’ll find information about dealing with your consumer problem on the Citizens Advice website and if you need further support you can contact the Citizens Advice consumer helpline by phone, email or webchat.

Debt

You’ll find information about dealing with debt and money problems on the Citizens Advice website. If you need further support, tell us as much as you can about your problem.

Is there an emergency?

Do you have any rent or mortgage arrears/council tax arrears or outstanding fuel bills?

Yes

Do you know roughly how much money you owe in total?

What is your approximate income each month?

Tell us about your problem including what you have done so far

Housing

You’ll find information about dealing with housing problems on the Citizens Advice website. If you need further support, tell us as much as you can about your problem.

Are you homeless, threatened with eviction or needing to leave your home for another reason?

Is there an emergency?

Do you own or rent your home?

Tell us about your problem including what you have done so far

Benefits and Tax Credits

You’ll find information about dealing with benefits problems on the Citizens Advice website, as well as finding links to online benefit calculators. If you need further support, tell us as much as you can about your problem.

Is there an emergency?

What benefits are you currently claiming?

Who lives in your household?

Do you own or rent your home?

Tell us about your problem including what you have done so far

Family and relationships

You’ll find information about dealing with family problems on the Citizens Advice website. If you need further support, tell us as much as you can about your problem including what you have done so far.

Tell us about your problem including what you have done so far

Work

You’ll find information about dealing with work problems on the Citizens Advice website. If you need further support, tell us as much as you can about your problem.

Are/were you employed or self-employed?

Employed

Self-employed

Unemployed

OtherOther

When did you start working for this employer?

Are you still working?

Yes

If not, were you dismissed, made redundant, walked out, suspended – and when?

Are you a member of a trade union?

Yes

Tell us about your problem including what you have done so far

Immigration

You’ll find information about dealing with work problems on the Citizens Advice website. If you need further support, tell us as much as you can about your problem.

What is your nationality?

Is there an emergency?

Do you have a partner or family member or employer in the UK supporting you (your ‘sponsor’)?

Have you had immigration advice on this already and if so who from?

Tell us about your problem including what you have done so far

Energy

You’ll find information about dealing with work problems on the Citizens Advice website. If you need further support, tell us as much as you can about your problem.

What type of fuel/ heating system do you have?

How do you pay for your energy?

Are you at risk of disconnection?

Yes

Do you have energy arrears?

Yes

If so, how much and have you spoken to your supplier?

Tell us about your problem including what you have done so far

Other

Please tell us as much as you can about what you want help with

Tell us what you are hoping we can do for you

Tell us if you have taken any action so far

There is legal protection if you are treated unfairly because of your race/gender/disability/sexual orientation/religion or belief/age. If you think this could apply to your situation, tell us

Declarations

We need to record the information you have provided so that we can help you with your enquiry. We will make sure all your information is kept safe in our secure case management system. To find out how we use and store your information, please read our privacy policy.

If you have provided information about your ethnicity, religion, health conditions, sexual orientation, trade union membership or political opinion, this is ‘special category personal data’ and we need your explicit consent to record it.

We use the information to

give you advice
help us gather data to improve our service
support our research in a way that you cannot be identified

Consent

I consent for the information I have provided to be stored and I have read and understand North Yorkshire Citizens Advice and Law Centre’s privacy policy

Please tick the relevant boxes below to consent to us recording your special category personal data:

Please note if you are a member of a Trade Union you will need to select the 'Trade Union membership' checkbox above in order to submit the form.

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Refer a client

Consumer

Debt

Debt

Housing

Housing

Benefits and Tax Credits

Benefits and Tax Credits

Family and relationships

Family and relationships

Work

Work

Immigration

Immigration

Energy

Energy

Other

Other

Declarations

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