Email advice Request

Email advice Request
sender-name
*Please Note: This service is only available for people who live or work in the Broxbourne area.

If you need advice, please complete and submit this form. We will try and contact you as soon as possible but please bear in mind that in really busy times, this can take a few days.

The adviser will attempt to contact you three times and if unsuccessful, you will need to submit the telephone/email advice request again.

If you have an emergency, require advice more quickly, or should you wish to remain anonymous, we would invite you to call Hertfordshire Adviceline 0800 144 8848 (Mon-Fri 10am-4pm)

You may want to try our website for an answer to your query? It contains a lot of information on numerous topics.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Post Code
Email Address*

Confirmation EmailConfirm your Email Address
Phone Number*
(this number must accept calls from withheld numbers)
Response Required*
Would you like an email or a telephone response?
Please note that we do not enter into communication via email. Our reply is sent from a ‘no reply’ email address. If you think that you will require additional discussion, please opt for the phone option (above) or call 0808 278 7915.
Please note that an adviser will attempt to contact you three times between the hours of 10:00 and 16:00. If unsuccessful, you will need to submit the telephone advice request again.
can we leave a voicemail or send a text message if you are unable to answer your phone?*

Yes – voicemail + text messageYes – voicemail onlyYes – text message onlyNo voicemail or text message
Date of Birth*

DayMonthYear
Consent to use special category information:

We need your explicit consent to use some information, including your ethinicity, 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, to help us gather data to improve our service and to support our research in a way you can't be identified. We'll make sure all your information is kept safe in our secure case management system.
I consent to you recording and using my special category data as follows*

All - ethnicity, religion, health conditions, sexual orientation, and trade union membershipethnicityreligionhealth conditionssexual orientationtrade union membershipI do not consent - this may mean that we are unable to advise you fully
Gender
TransGender
Your Ethnicity
Your Nationality
Your Health - please tick any that apply to you

NoneDisabled or have a long term health problemCognitive ImpairmentDeaf / Hard of HearingLearning DifficultyMental HealthMultiple ImpairmentPhysical Impairment (non-sensory)Visual ImpairmentOther DisabilityPrefer not to say
Please describe the enquiry you would like advice or information on. Give as much detail as you can about your situation. *
Please attach any relevant documents you wish

Browse Files

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Feedback

We need your permission 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 data so that we hear from different groups.
Feedback permission - I am happy to be contacted for feedback*

YesNo
By which channel do you wish to be contacted for feedback ?*

PhoneEmail
Email Privacy

Citizens Advice Broxbourne is covered by the General Data Protection Regulations (GDPR) and is a member of Citizens Advice, who electronically processes personal information.

Email is a way of making general enquiries, but it is not a secure way to send personal information. Citizens Advice Broxbourne makes every effort to ensure the security and integrity of emails in our systems. Unfortunately, no data transmission over the Internet can be guaranteed to be 100% secure. As a result, while we strive to protect your personal information after we have received it, Citizens Advice Broxbourne cannot ensure or guarantee the security of information when it is in transit.

Citizens Advice Broxbourne will only return information to the email address of the sender, it is the sole responsibility of the sender to secure the privacy of this message.

We need to record information about you to help with your enquiry. We have a legitimate interest to do this. 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

For full details on how we store and use your data, please read our privacy policy.
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