DEBT FOA
Clients Name
Clients Name
First
Last
Address
Address
City
State/Province
Zip/Postal


                              

              FORM OF AUTHORITY

Our Reference: 
   
Client Name:
   
Address:   
   
D.O.B


I hereby authorise Citizens Advice Richmond and Debt Free London to take up enquiries and/or act on my/our behalf (This includes authorisation for all processes relating to; applications, reconsiderations, appeals, disputes, negotiations and representation) regarding;

  • ALL CREDITORS, 3RD PARTIES AND ORGANISATIONS WHOM I HAVE AN ALLEGED LIABILITY/ ARREARS.
  • ALL CREDIT REFERENCE AGENCIES.
  • ALL BENEFIT AGENCIES INCLUDING THE LOCAL AUTHORITY AND DWP REGARDING CURRENT AND PREVIOUS CLAIMS.

I also authorise Citizens Advice Richmond and Debt Free London to supply to the aforementioned persons/ organisations; and the aforementioned persons/organisations to supply Citizens Advice Richmond and Debt Free London, with any information, documentation and updates in relation to this case and disclosure of any information covered by the data protection act and GDPR Regulations 2018.

These authorities include Special Category Data, for which I authorise disclosure of: 
 



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Signature Certificate
Document name: Authority to Act - Money Advice
lock iconUnique Document ID: dc1d3eaaae19480db60dcd4eeadc709025e360fb
Timestamp Audit
23rd June 2021 10:12 pm BSTAuthority to Act - Money Advice Uploaded by Bradley Johnson - Advice@citizensadvicerichmond.org IP 86.14.100.67