BSL - Enquiry Form

British Sign Language Enquiry Form
Please only complete this form if you are deaf or have hearing loss and need the support of our British Sign Language adviser.

This service is available only to deaf people and people with hearing loss living in Hertfordshire.

Please also read the notes at the end of the form about privacy.
Full Name*
Address*

Street Address

Street Address Line 2

TownCounty

Post Code
Email
example@example.com
Phone Number*
Can we leave a Voicemail?*

YesNo
Can we send a text?*

YesNo
Can we email you?*

YesNo
Can we Video Call you?*

YesNo
Do you Prefer to use*

BSLSSEOral
Date of Birth*

DayMonthYear
Gender

MaleFemalePrefer not to say
Consent to use special category information:

We need your explicit consent to keep some information known as special category data. This includes your ethnicity, religion, health conditions, and sexual orientation. For full details of how we collect and use your data please read our privacy policy.

Do you consent to us using and storing any special category data you provide in this form?
Please tick all those you consent to:

EthnicityReligionHealth ConditionsSexual OrientationTrade Union Membership
Issue (Tick all that apply):

BenefitsDebtsHousingEmploymentImmigrationFamilyConsumerOther
Details of issue including any deadline dates:*
Please attach any relevant documents you wish

Browse Files

Cancelof
Email Privacy

Citizens Advice Welwyn Hatfield is covered by the General Data Protection Regulations (GDPR) and is a member of Citizens Advice, which 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 Welwyn Hatfield makes every effort to ensure the security and integrity of emails in our systems. Unfortunately, no data transmission over the Internet can be guarenteed to be 100% secure. As a result, while we strive to protect your personal information after we have received it, Citizens Advice Welwyn Hatfield cannot ensure or guarentee the security of information when it is in transit.

Citizens Advice Welwyn Hatfield 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.

If you are concerned about confidentiality then please contact us by phone, or in person.

When we record your information we:
- only access it when we have good reason.
- only share what is necessary and relevant.
- don't sell it to commercial organisations.
We need to record information about you to help with your enquiry. We have a legitimate interest to do this. Please let us know if you would like more information about how we'll use your data.

Our full privacy policy can be found here.
Sender
Please verify that you are human*
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British Sign Language Enquiry Form