Debt Advice Form

Please read the form carefully and complete all the questions. Trying to submit an incomplete form may mean you have to start over

Do not include links in any of your responses. We will not click them and it can prevent the form reaching us

You can find out what Lambeth Ward you live in by clicking here and entering your postcode

For help completing this form call us on 0207 733 7554 (10am to 3pm Monday to Thursday)

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We will be in touch with you within the next 10 days and appreciate your patience. You can also ring us for advice on 0207 733 7554 between 10am – 3pm Monday to Thursday
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Tell us about any benefits you are receiving – select all that apply(required)
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Please tell us how much you have in savings (this helps us identify suitable options, having savings will not stop us helping you)(required)
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Answering the following questions helps us produce anonymous statistics that helps us understand who uses our service. This kind of anonymous statistic 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 do not want to help us with this. Your personal information is protected and fully confidential whichever you choose

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)
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Health and physical – select all you believe apply to you(required)
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Brixton Advice Centre is a Registered Charity No. 291484. A Company Limited by Guarantee. Registered Office: 167 Railton Road London SE24 0LU. Registered in England No. 01893924. VAT No. 730882725. Authorised by the Financial Conduct Authority No. 624726. Website Privacy Notice