We will use the information you provide in your enquiry to provide you with advice. By choosing to include any Special Category Data (including but not limited to information about your health, ethnicity or trade union membership) you are consenting to us using this information for this purpose.

For more information about how we use your information, please see our privacy policy.

The limitations of our email advice service mean that we can only provide one email response to your query. Please make sure you supply us with enough information in order for us to respond.

If your query is too complex for an email, we may suggest you contact us via Adviceline or one of our offices.

If your query is relating to Energy we will refer your case directly to the Citizens Advice energy team for support.

By submitting this form I give my consent for Norfolk Citizens Advice to store and use my personal information as well as any special category data (ethnicity, details of disability and health condition, religion, sexual orientation or trade union membership) where relevant, in order to advise me. I understand that this information will be kept confidential to the Citizens Advice service as detailed in your privacy policy.*

IMPORTANT: We need your explicit consent to keep some information, known as special category data. This includes things like your ethnicity, religion, health conditions, and sexual orientation.

Do you consent to us storing and using any special category data you have provided in this form?*

Please be aware that if you include any special category data but do not give us permission to store and use this, we will be unable to use this information and will be limited to providing general advice only.

Do you consider yourself to be a disabled person or do you have a long-term physical or mental health condition? Put select the relevant option.*

If yes, what health condition / disability do you have?

Do you have particular communication or information needs as a result of a disability?

If yes, what can we do to help when communicating?

Ethnicity*

Nationality*

Do you need an interpreter? If yes, what language?

Religion

Trade Union Membership

Sexual orientation

I consent for Citizens Advice to share information for collecting feedback?*

I CAN visit a local Citizens Advice office if needed*

Title*

Gender *

Name*

First NameLast Name

Address

Street Address

Street Address Line 2

CityCounty

Postal Code

Email *

example@example.com

Email re-enter*

Please re-enter your email address to double check it is correct

Email addresses do not match. You need to ensure the email addresses you have entered match, before you can submit this form.

Date of Birth*

DayMonthYear

Mobile

Area CodePhone Number

I am happy for a voicemail to be left on my mobile:*

Home landline

Area CodePhone Number

I am happy for a voicemail to be left on my home landline:*

If we were to call you, what days and times are best to reach you? Please note, we operate from 10am - 4pm, Monday to Friday*

0/30

I am happy for a letter to be sent to the address I have provided:*

For all Consumer issues, we will ask that you contact the Consumer Helpline on

0808 223 1133

The helpline adviser can:

give you practical and impartial advice on how to resolve your consumer problem
tell you the law which applies to your situation
pass information about complaints on to Trading Standards (you can’t do this yourself, and our generalist advisers can't do this)

Over the weekend you can contact them using an online form. (From 5pm on Fridays to 9am on Mondays.)

https://www.citizensadvice.org.uk/consumer/get-more-help/if-you-need-more-help-about-a-consumer-issue/

Please select the option(s) below that best describe what your enquiry is about*

Please note that if you are requesting a Food Bank voucher, we need permission to contact you by telephone in order to obtain your consent to refer you to the Food Bank. This is due to the agreement we have in place with the Trussell Trust. We will explore your situation fully to see if there is further support that can be offered to you. Food vouchers are for those in emergency situations. There is a maximum of 3 vouchers in a 6 month period (with discretion and subject to need.)*

I understand and I give you consent to telephone me.

Please note, once you submit this form, it could take up to 5 working days to get a response (This could be longer during busy periods). If you're in crisis and are unable to wait please call Adviceline on 0800 144 88 48*

Yes, I understand and I can wait 5 working days (Possibly longer)

Marital Status*

Household Type*

Housing Type*

Employment Status*

How long have you been employed?*

Do you know your current immigration status? *

Please state what your enquiry relates to*

We will use the information you give in your enquiry to provide you with advice and to direct you to the right service. For more information about how we use your information, please see our privacy policy.0/50

Please provide any further information about specific debts here

0/50

Would you like to be contacted by our debt team? Do you give consent for us to refer you to them?*

YesNo

Have you contacted Citizens Advice consumer helpline: 0808 223 1133 ? If so what advice did they give ? (If you haven't contacted them already, we may ask you to do so before we can offer any follow up help.)*

0/50

Are you currently receiving benefits, if so which benefits? *

0/50

More details about your enquiry*

We will use the information you give in your enquiry to provide you with advice and to direct you to the right service. For more information about how we use your information, please see our privacy policy.0/200

Time limits - please provide any key dates we should be aware of.*

We will use the information you give in your enquiry to provide you with advice and to direct you to the right service. For more information about how we use your information, please see our privacy policy.0/50

Do you have any attachments you would like to include with your submission relating to your enquiry?

To help us reach more people, it is useful for us to know why you have chosen email as your method of contacting us. Please select any that apply to you:*

I already tried calling Adviceline but was unable to get through to someoneI already tried calling the Citizens Advice Consumer Helpline but were unable to get through to someoneI am unable to attend a face-to-face appointment (e.g. for transport, availability or health reasons)I have tried to obtain a face-to-face appointment but was unable to do so or unable to receive one in the timeframe I needTelephone communication is difficult for me (whether because of a disability or any other reason)Email advice is my preferred form of adviceI have work or childcare commitments that make contacting you during opening hours difficultOther

If Other, please specify:*

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