Community Advice Assist – referral to Citizens Advice Nottingham

Help in the heart of our local community, delivered by partner organisations, in conjunction with Citizens Advice Nottingham and District.

This form is intended for use by people who have been to a Community Advice Assist training.

If you have not been to one of these trainings, please direct the person to our usual contact methods: https://citizensadvicenottingham.org.uk/opening-times

Your full name:

Your direct email address:

Your direct phone number:

The CAA partnered organisation you work / volunteer for:

Does the client live in Nottingham, Gedling or Rushcliffe?
YesNo

If the client doesn't live in Nottingham, Gedling or Rushcliffe, please contact their local Citizens Advice (based on their postcode) for support.
https://www.citizensadvice.org.uk/about-us/contact-us/contact-us/search-for-your-local-citizens-advice/

Consent
Does the client consent to being referred, and to Citizens Advice Nottingham & District storing information about them and their situation?
YesNo

Client name:

Client's date of birth:

Client's address:

Client's postcode:

Client email:

Client phone:

Outline of problem/reason for referral (please include any deadlines):

Our privacy policy can be found here: https://citizensadvicenottingham.org.uk/privacy-policy