Email Advice Form

IMPORTANT. Please give your contact details etc. below even if your query is about someone else's problem. This service is for people who live or work in the Andover area (SP10 and SP11 postcode areas and the Whitchurch area) or the Romsey area (SO20, SO51 & S052 postcode areas, and the Rownhams, Nursling & Chilworth areas).

Title

First Name *

Surname *

Address 1 *

Address 2

Town

Post Code *

Telephone

Is it OK to leave a message?

Email Address *

Confirm Email Address *

Enquiry Details *

We will initially respond to you by email (unless urgent action is needed), but if a follow-up interview is necessary, how would you prefer this to take place?

We want to make sure that we are meeting the needs of our local community. You can help us do that by providing us with a few extra details; the information given will be confidential.

Your date of birth

Gender

Your ethnic origin

Do you consider yourself disabled?

Permission to Obtain Feedback Citizens Advice may want to contact you at a later date to ask for you feedback on the service we provide. Sometimes we use a trusted research organisation to help us do that. We need your permission to share your contact details with them. We may also share some high level information to make sure we are hearing from different groups. We only share what is absolutely necessary.

I agree to Citizens Advice sharing my personal information so that I can be contacted to give feedback.

Do you agree to Citizens Advice Test Valley storing your personal information? In order to help you with your enquiry effectively we need to store information about you. We also need your explicit consent to use some information including your ethnicity and health conditions. The information you have provided will be recorded securely into our system and will not be shared with anyone without your consent and/or where it is required to do so by law. See our Privacy Policy for more information on how we treat your information, and how to withdraw your consent.

I consent to my information being stored.

Once you have submitted your enquiry, it will be sent to Citizen Advice Test Valley. You will receive a delivery confirmation email.

Thank you for your message. It has been sent.

There was an error trying to send your message. Please try again later.

Citizens Advice Test Valley has a complaints handling procedure. Please click HERE to view a copy of the complaints leaflet.