Benefits Advice by Email Please note, fields marked with the red asterisk are mandatory. KEEPING RECORDS ABOUT YOUR CASE We need to record information about you to help with your enquiry. We have a legitimate interest to do this. Please let us know if you’d like more information about how we’ll use your data. When we record and use your personal information we: ● only access it when we have a good reason ● only share what is necessary and relevant ● don’t sell it to commercial organisations Your Title Mr/Mrs/Miss/Ms etc. Your FIRST Name * Your SURNAME * Date of Birth (DD/MM/YYYY) * Gender Male Female Unknown/declined to reply If you are human, leave this field blank.