Refernet: Making a Self-Referral

Help, Advice & Support for the Covid-19 Lockdown: Make a Self Referral

I consent to this referral to Citizens Advice for the purpose of directing my inquiry to the most appropriate support by themselves or with one of their registered partner agencies.

We act as a data controller for the purposes of the GDPR regulations 2018. We will manage the information provided on this form in accordance with this Act which has replaced the Data Protection Act(1988).

We are only collecting your personal information in order to make that referral possible.

By Clicking forward you are indicating your consent.

Please ensure that you fill out all the information requested in the following self-referral form by completing all boxes, otherwise, it may not send.

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