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Advice Enquiry
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Email
*
Address
*
Postcode
*
Phone Number
Preferred Contact Method
*
Telephone
Email
Please confirm whether or not you are in receipt of the following welfare benefits?
*
Universal Credit
Income Related Employment Support Allowance
Income Based Jobseekers Allowance
Income Support
Pension Credit
None of the above
If you are not in receipt of any of the above welfare benefits, please confirm your annual household income.
Do you have any long-term health conditions or disabilities?
*
Yes
No
How many adults live in your household?
*
How many children live in your household?
*
Housing Status
*
Please select...
Tenant
Leaseholder
Owner occupier
Other
Please note, we are unable to assist leaseholders or owner occupiers with any issues relating to their property.
Advice
Legal Area
*
Please select...
Housing
Welfare Benefits
Family
Employment
Debt
Consumer
Other
Housing Enquiry Area
*
I have a Notice to Quit or Possession Proceedings
I'm being evicted from my home
I am homeless
I have a problem with my homelessness application
My temporary accommodation is not suitable
I have been offered an unsuitable permanent property
I'm being harassed by my neighbour or Landlord
I want to challenge an Anti-Social Behaviour injunction
Other
Who is your landlord?
*
If your home is in disrepair, please provide further details.
Other party's full name
*
Other party's postcode
*
Has there been any domestic violence issues within the household or former relationship?
Yes
No
Has there been any police involvement?
Yes
No
If you are employed or self-employed, what is your monthly or annual income?
Please provide the gross amount (i.e. before tax)
What type of benefit matter do you need assistance with?
*
Personal Independence Payments
Universal Credit
Housing Benefit
Council Tax Reduction
Disability Living Allowance
Employment and Support Allowance
Other
Employer's Name
*
Which borough is your employer based?
*
Job Title
*
Are you a member of a trade union?
*
Yes
No
Date employment started
*
Wage/Salary
*
Employment Status
*
Employed - Full Time
Employed - Part Time
Agency Worker
Zero Hour Contract
Freelance
Other
Hours worked
*
Date employment terminated (if applicable)
Do you have any insurance? (e.g. household, motor, mobile phone)
*
Yes
No
Do you have any deadlines to meet or hearing dates?
What is the reason you are seeking advice?
*
Dismissal
Disciplinary
Grievance
Disability/Sickness
Have you appealed a Benefit decision to the Tribunal?
*
Yes/No
Yes
No
Do you have the appeal bundle?
*
Yes/No
Yes
No
If you have a Tribunal hearing date and time, please enter it here.
Date
Time
Brief description of the issue you are seeking advice on
*
Name of referral organisation (if applicable)
I confirm I have read University House Legal Advice Centre's privacy policy and I give consent for them to store my personal details submitted by this form. I am aware that I can withdraw my consent at anytime.
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Home
About Us
News
Impact
Leadership Team
Vacancies
Our History
The founder of the Legal Advice Centre
Where to find us
Advice
Advice Portal
User Care
Housing – Legal Aid
Family – Legal Aid
#273 (no title)
Welfare Benefit Appeals
Legal Expenses Insurance
Other Agencies
A2J Lab
A2J Lab
Our Projects
Volunteering
Apply to volunteer with us
Volunteering Resources
Domestic Violence
Employment – Legal Expenses Insurance
Housing
SEN
Welfare Benefits
Links
Contact Us
Advice Enquiry
Privacy
Donate