Client Referral

    If you would like to make a referral to our advice team, please complete the enquiry form below. We aim to respond by phone or email within 1 working day.

    Please complete all fields showing a *

    Important: By making a referral to us you agree to Colchester Citizens Advice retaining the information you give us on our records system.

    For more information on how we use and store this data relating to your query, please see our privacy policy page.

    Unfortunately, if you do not agree to us storing this data we cannot process this referral. *

    Are they in our area?

    Does the client work or study in Colchester? *

    To help us solve the problem, please give us as much detail as possible. If you give us sensitive information such as health conditions, ethnic origin, religion, trade union membership, sexual orientation you need to give us permission to store it. You can withdraw your consent at any time. You can tell us what personal information you don’t want us to store and we’ll delete it.

    Are you happy for us to use and store any sensitive details you may give us? *

    Your enquiry area *

    Other enquiry area *

    Your Name *

    Your email address

    (if you are happy for us to email you)

    Your Phone Number *

    Clients Name *

    Clients email address

    (if you are happy for us to email you)

    Clients Address

    (this is optional. If you give us your address, it may help us to give you more specific advice)

    Clients Phone Number *

    Can we leave a voicemail?

    Please tell us a little about their situation

    Have they done anything so far, or asked anyone else for help?

    Please tell us more

    Are there any urgent deadlines?

    Please tell us more