Leicester City Referral Form

Citizens Advice Leicestershire processes information provided on-line, which includes your personal information, and stores this securely on a shared electronic management system accessed by members of the Citizens Advice Service. Personal information is any information which can identify you. e.g. name, address, date of birth etc. By completing and submitting this online form, you are providing consent for your personal information to be stored. If you do not wish your details to be held, please contact our telephone service on 0808 2787854. Special category data includes the following: personal data revealing racial or ethnic origin; political opinions; religious or philosophical beliefs; trade union membership; data concerning health; data concerning a sexual orientation. You may submit this form without consenting to special category data being stored, but this may affect our ability to provide you with the most appropriate advice possible.