Adviceline 0808 278 7930 (Monday to Friday 10am - 4pm)

  • Email us

This email advice service is for people who live, work or study in Mole Valley.

Please complete the enquiry form below with your details, even if the enquiry is on the behalf of someone else.

Subject to demand and Adviser availability, we will contact you within 2-3 working days following receipt of your request. If your matter is urgent, please call our Adviceline, or visit one of our Advice Centres.

If you do not live or work in Mole Valley, please phone Adviceline on 0808 278 7930 or visit www.citizensadvice.org.uk.

Everything you tell us will be treated in absolute confidence. See our Privacy Policy for more information.

If you work for a third party organisation please use our referral form.

Client email advice form

Section

Before we can give you email advice we need to keep accurate records to comply with legislation. Please would you fill out the following details which should take no longer than 5 minutes to complete.

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

All your information will be stored securely.

If you don't want to provide us with your personal information, we cannot provide you with advice via email. We suggest you instead call our adviceline number 0808 278 7930 or see our self help page with links to our national Citizens Advice website and other advice organisations, or visit us during our drop-in sessions.

I agree to my personal records being stored securely

You have selected no and therefore do not give your consent to Citizens Advice to hold your personal information, you will therefore not be able to continue with using this form.

Your information

First
Last
Can we email you?
Please leave no spaces when inputting your telephone number
Can we leave a voicemail?
Can we text you?
Please leave no spaces when inputting your telephone number
What is your preferred contact method?
I give permission to be contacted for feedback by (please tick all that apply):
Please select the area your enquiry relates to

Benefits enquiry information

(If none, put 0)

Please enter ages of the children

Does anyone other than your partner and/or dependent children live with you?
Are you working?
Is your partner working?
(Include maintenance payments and any other income)
Is income
(If none, please enter 0)
Do you own your own home?
Are you currently claiming any benefits?

Please list them below, with amount you receive and frequency of payment:

Repeater

plus1 Add minus1 Remove

Benefits enquiry information pt.2

Maximum file size: 516MB

Debt enquiry information

Are you being threatened with imminent
Tick any that apply
Type of debt (tick all applicable)
Are debts in
Tick both if applicable
Do you own your own home?
Does anyone owe you money?

Number of people in your household

Please enter ages of the children

Maximum file size: 516MB

Employment advice information

Enter n/a if you are still in this job
Do you have a copy of:

Maximum file size: 516MB

Housing advice enquiry

Are you under threat of imminent eviction?
Do you share a bathroom or kitchen with anyone who is not in your family?
Do you share a bathroom and/or kitchen with your landlord?
If none, put 0

Please enter ages of the children

Maximum file size: 516MB

Relationship advice information

If none, put 0

Please enter ages of the children

Are you, or have you been, married to the other parent?
Are you working?
Are you currently claiming any benefits?

Please list them below, with amount you receive and frequency of payment:

Repeater

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Relationship enquiry information pt.2

Maximum file size: 516MB

Profile

Gender

If you have provided information about your ethnicity, health condition, religion, sexual orientation and/or trade union membership in the 'brief details of enquiry' question in any of the above sections, we need your explicit consent to record these details.

Please confirm you are happy for details of your ethnicity to be recorded
Please confirm you are happy for details of your health condition to be recorded
Long term health problems?
Please confirm you are happy for details of your disability to be recorded
Disability
Please confirm you are happy for details of your religion to be recorded
Please confirm you are happy for details of your sexual orientation to be recorded
Please confirm you are happy for details of your trade union membership to be recorded
Do you belong to a union?
Nationality
Preferred language
Dependents