Debt email service

You can use our online form to get help on a wide range of debt issues. The information you send will be kept as part of a confidential record of your enquiry and we will use the details to decide how best to help you.

We aim to send you a reply within five working days.

This service is designed for people who do not need an appointment but who would benefit from information to help them resolve their debt problems. It is not suitable for people with debt emergencies. For urgent queries please call on our debt phone line 01159453989. Please complete all the fields below. Once finished, click on the Send button below.

PLEASE NOTE, THIS EMAIL FORM IS ONLY FOR DEBT ENQUIRIES

Title

First name (required)

Last name (required)

Gender

Date of birth (in the format DD/MM/YYYY)

Ethnicity (We need your explicit consent to record your ethnicity. If you do NOT agree to this please select Prefer not to say.)

Disability/health problems (We need your explicit consent to record your disability. If you do NOT agree to this please select Prefer not to say.)

Type of disability/condition

Household type

Housing status

Employment

Marital status

Number of children

Address

Postcode

Your email address

Daytime telephone number

Mobile number

Can we leave you a message?

Do you have any arrears? (mortgage, benefits overpayment, store/credit cards). Please list them
What is the total debt?

Do you have any upcoming court dates?

What benefits (if any) do you receive (excluding child benefit)?

Please describe your issue, if possible please give relevant dates. (This is an email advice service, don't just ask for an appointment.)