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Money Advice Service

Struggling with Debt or need Benefit Advice? RBH's Free Money Advice Service can help!

Your Name *

Your Email Address *

Your Address *

Your Phone Number *

Preferred Contact Method *

Phone

Do you currently have access to food? *

Yes

Do you currently have a useable energy supply to your home? *

Yes

Are you struggling to pay your rent or mortgage? *

Yes

Amount Owed

Do you have any debts? *

Yes

Please state other type of debt *

How much do you owe?

Have you recently been contacted by a bailiff? *

Yes

Help with Bailiffs

Do you need help claiming benefit? *

Yes

Please state other type of benefit *

What is the current status of your claim? (Please tick all that apply)

Awaiting Outcome of a new claim

Benefit Suspended

Benefit not in payment

Benefit Stopped

Additional Comments

Consent for storing submitted data *

Yes, I give permission to store and process my data