Skip to main content

If possible, please complete the following short form. This will speed up the process and enable one of our advisers to call you back swiftly. If you have problems with the form, please telephone 01623 980011 for further help. Please note: all of our calls will display as ‘No Caller ID’.

Callback (Ashfield)

Callback (Ashfield)

Data Protection

When we record and use your personal information we only access it when we have good reason, only share it when it is necessary and relevant, and 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'd like more information about how we'll use your data.

Name
Name
First Name
Last Name
First Line
I prefer to be contacted about my advice query by:
It is okay to:

Housing

Does your query involve a dispute with another individual (eg ex-partner, neighbour, landlord/tenant or someone you are in a legal dispute with)?
Does your query relate to:
What type of tenancy / contract do you have?
This allows us to check our system to ensure that we are not advising the other party (we are required to make sure that we do not have a conflict of interest before we give advice). It also helps us to check if the letting agent is registered with a redress scheme.
If any particular deadline applies to your enquiry - eg. court date, eviction or time limit for returning a form - please include this above.

Please upload a copy of your tenancy agreement

Maximum file size: 134.22MB

Benefits Entitlement

If any particular deadline applies to your enquiry - eg. tribunal date or time limit for returning a form - please include this above.

Maximum file size: 134.22MB

If it's a paper document, you can take a photograph and upload it as an image

Anything else . . .

If any particular deadline applies to your enquiry - eg. tribunal date or time limit for returning a form - please include this above.

Maximum file size: 134.22MB

If it's a paper document, you can take a photograph and upload it as an image

Benefits Appeal

Maximum file size: 134.22MB

If it's a paper letter, you can take a photo of it and upload it here
If any particular deadline applies to your enquiry - eg. tribunal date or time limit for returning a form - please include this above.

Employment

Does your query relate to:
What type of employment are you in?
Do you have employment contract?
What type of contract do you have?
Are you a member of a Trade Union?
We need your explicit consent to record your Trade Union membership status.
If any particular deadline applies to your enquiry, please include this above.

Maximum file size: 134.22MB

If it's a paper document, you can take a photograph and upload it as an image

Consumer

Does your query relate to a product or service that you have already made payment for?
How did you make payment?
How did you purchase/agree to purchase the product or service?
Please give the name of the company or individual selling the product/service, if known.
If any particular deadline applies to your enquiry, please include this above.

Maximum file size: 134.22MB

If it's a paper document, you can take a photograph and upload it as an image

Energy

My energy problems involve
If any particular deadline applies to your enquiry, please include this above

Maximum file size: 134.22MB

If it's a paper document, you can take a photograph and upload it as an image

Debt and Money Advice

To help us to process your debt query as quickly as possible, we need to ask a few more questions. Please answer as fully as you can. I you don't know the answer to a question, enter/select 'don't know'.

(By 'household' we mean people living in your home as part of your family unit)

Are the debts in your name (either solely or jointly)?
Do you agree that you owe the debt(s)?
Are any of the debts business debts (ie. owed by/in relation to a business that you own or fun)?
Have you ever received debt advice before?
Have you tried and failed to set up a payment plan, or set up a payment plan but failed to keep up payments?
Do you have a County Court Judgement (CCJ) or High Court Judgement (HCJ) against you?
List all the debts that you know of. If you don't know the exact amounts, you can enter an estimate.
Do you have any savings?
Do you own any assets, such as a car (excluding disability-adapted vehicle), a house or flat, or other high-value asset?
If you don't know the exact amounts, you can enter an estimate
After getting your income and then deducting your expenses, how much money do you have left over each month?
Do you have any of the following emergencies (tick any that apply):
Are you confident dealing with letters and forms in your day-to-day life?
Do you have internet access, and are you happy using it on your own?

Maximum file size: 134.22MB

If it's a paper document, you can take a photograph and upload it as an image
Would you prefer a:
Your availability:

Form Filling

What type of form do you need help completing?
This can usually be found on the front page of the form, or on the letter that came with it.
What type of appointment would you like?
Home visits are only available to housebound clients

Maximum file size: 134.22MB

If it's a paper document, you can take a photograph and upload it as an image
Thanks for your enquiry.

We aim to respond within 1 to 4 working days, depending upon adviser workload.

If your enquiry becomes an emergency, please telephone 01623 784384 for further assistance.