Contact Form – Swindon Citizens Advice

Please complete this form if you would like to request help from Citizens Advice Swindon. We aim to contact you within 72hrs, however this may be longer during busy periods. If your issue is urgent please call our freephone adviceline 0808 2787813 Monday – Friday 9.30am – 4pm. Please note if we contact yu by telephone this may come from a withheld number.

Please note that we can normally only help clients who live or work in the Swindon area. If you don’t live or work in Swindon borough, please use this link to our national website to find your closest local Citizens Advice office: www.citizensadvice.org.uk/about-us/contact-us/#h-find-your-nearest-citizens-advice

We will need to ask you a few questions about your problem, and about you, in order to give advice.

Please read our data protection statement below before you proceed:

We need to record information about you to help with your enquiry. We have a legitimate interest to do this, so that we can give you advice. We also use the issues clients come to us with to improve our service and tackle wider issues in society, in a way that you can’t be identified. We keep what you tell us safe and confidential and you always decide what to share with us. Please see our privacy policy if you would like further details about how we will use your information.

www.citizensadviceswindon.org.uk/privacy-policy-and-data-protection

Please remember email is not a secure method of communication so only share information on this form that you are happy to send via email.

1. First name: *

2. Last name: *

If you want to refer a family member, friend or neighbour, please complete this form with your own details. We will contact you to discuss how we may be able to help the other person.

3. Date of birth: *

4. Phone number we can contact you on: *

5. Email address we can use to contact you: *

6. Address: *

7. Postcode: *

8. Please check the following permissions and consents: *

Can we leave a phone message?

Can we send a text message?

Can we send a letter?

Can we send an email?

9. Preferred method of contact for advice: *

We will try this as a first option if possible but will try other means of contacting you if you have consented above.

10. Do you give consent to record certain “special category” information: *

We need your explicit consent to record certain “special category” information. This includes anything you choose to tell us about your ethnicity, religion, health/disability, sexual orientation, and trade union membership. We will only use it for the purposes detailed in our data protection statement. We will only record what you choose to share with us. Please confirm if you give consent to this.

11. Please tell us about the problem you would like us to help with: *

If you chose not to give consent in question 10, please don't mention any information about your ethnicity, religion, health/disability, sexual orientation, or trade union membership.)