Benefits Advice Form

We can only assist people who live in Lambeth. Please tell us your Ward or select 'I don't know my Ward'

YOUR FULL NAME

Your date of birth

Your National Insurance Number

Email address

Re-enter your email

Contact telephone number

House number / name

Post code

Any special instructions about contacting you e.g. whether to email you instead of telephoning

Tell us what you would like help with below

If your benefits query is linked to a health condition and/or a disability, please provide more information on these below

Let us know if you have taken any action already and, if so, what

Tell us about any deadlines or time limits you are aware of

Please note: we cannot guarantee to be able to help you in time if your deadline is short

What we do with your information

Answering the following questions helps us produce anonymous statistics and might also help us assist you more effectively. Pulling anonymous statistics together and looking at the numbers helps us see, for example, if we are helping all sections of our community or whether certain groups of people are experiencing certain types of issue more than others. You can still select ‘Prefer not to say’ if you don’t want to help us with this

We need particular permission to store and process what you tell us about your health and ethnicity in this way

You can read our full data protection policy at: https://brixtonadvice.org.uk/your-data-your-rights/(required)

That's fine, I understand and grant permission

I do not grant permission

What best describes your gender

Which best describes your ethnic group or background

What best describes your household

What best describes your current situation

What best describes where you live

Please tell us how you found out about our service

If you helped someone with this form please tell us who you are and how to contact you about it if we need to

Press the Send button below once you have completed the form

What we do with your information

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