Money Advice Service Form

Client's Details and Profile Data

May we leave a message at this number?  

Do any of the following apply?

I have been served with a possession hearing or eviction notice to take place on (please enter date in the box below).  

I have been served with a statutory demand or creditors’ petition for bankruptcy. The date to respond / hearing date is (please enter date in the box below).  

I have been issued with a claim or enforcement in the county court. The relevant date to respond / attend is (please enter date in the box below).  

There is a committal to prison hearing for non-payment of Council Tax or court fine. The date of the hearing is (please enter date in the box below).  

There is a warrant out for my arrest for non-payment of a fine.  

NOTE: Bailiffs action is NOT urgent for these purposes. Those expecting bailiffs should keep their doors / windows LOCKED and not let the bailiff in to the home. Cars should be kept away from the home.

With What Do You Need Help?

Client's Declaration

I agree to the project detailed above contacting me and the transfer of any relevant case notes/documents. The services provided by the project to which I have been referred have been explained and I understand the nature of the work they may undertake on my behalf.

I Agree  

Do you have any access needs to help you communicate with us, for example a BSL signer or interpreter?  

need housing debt issues benefits advice