Complete the form below or if you would like a discussion prior to referral, please contact us.
Citizens Advice Rutland collects and holds your personal information. We use this information to:
This includes personal characteristics and sensitive information (special category data) relevant for the services we provide. The information we collect may be stored electronically, on paper or a mixture of both. We will not disclose any information provided ‘in confidence’ to anyone else without permission, except in the few situations where disclosure is required by law, or where we have good reason to believe that failing to share the information would put someone at risk.
We need to obtain your consent to store your information and before doing so please read our privacy statement
(for contacting regarding appointment times etc.)
(Please tick all that apply to help us identify the best service(s) to meet your needs)
(For monitoring purposes please complete all sections. Tick only one box in each section)
I hereby give permission for information relating to me and my support/advice needs to be recorded and shared by Citizens Advice Rutland, The Bridge, Spire Homes, Age UK and Vista as necessary.
Your information will not be disclosed to anyone else without your permission (unless there is a risk of harm to you/others or criminal activity). Click here to read our Privacy notice.