Bedworth

*Title

*First Name

*Surname

*Date of Birth

*GenderMale Female Prefer not to say Other

*Postcode

*House Name or Number

*Email

Phone

*We need to record information about you to help with your enquiry. We will not disclose information about you unless the law permits us to or we have obtained your consent to do so. We need to get your permission to record and use any special category data (your ethnicity, health, religion, sexual orientation and trade union membership) you give us. If you agree we'll use this information to give you advice; help us gather data to improve our service; support our research in a way that you can't be identified. For full details of how we collect and use your data, please read our privacy policy (link at the bottom of this page). NOTE: We may not be able to give you advice if your enquiry involves special category data and you don't provide consent

I confirm I have read and understood the above statement.

*Consent given to record and use details of ethnicityYesNo

*Consent given to record and use details of religionYesNo

*Consent given to record and use details of health conditionYesNo

*Consent given to record and use details of sexual orientationYesNo

*Consent given to record and use details of trade union membershipYesNo

*We want to make sure our service meets your needs. To help us understand how we’re doing and to improve our service, we may want to contact you at a later date to ask for your feedback. Sometimes we need a trusted research organisation to help us do that. We’ll decide who we contact for feedback based on the services you used and the advice area. We may also use your special category data so that we hear from different groups. Do you agree to us getting in touch for feedback?YesNo

*Your Enquiry

Bedworth, Rugby and Nuneaton Citizens Advice

Bedworth

Bedworth Citizens Advice

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Location:

Accessibility:

Freephone Adviceline:

0808 250 5715

Lines are open every weekday from 9am-5pm

Nuneaton & Bedworth also operate at Outreach Locations:

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We are currently looking for volunteer advisers