Make a Referral

Please complete this form to make a referral to Citizens Advice Allerdale. We only accept referrals from external agencies through our website.

If you would like advice please call 01900 604735 or email [email protected] There is also lots of information in the Get Help section of our website.

Step 1 of 3

Referrers Name

First

Last

the client client

Referrers organisation

Is your organisation a member of the West Cumbria Mental Health Partnership

Referrers Email

Referrers contact number

What does the client require help with?

Please provide us with as much information as you can.

If the enquiry is a Housing issue, does the client have a Notice of Seeking Possession/Notice of Eviction? Please provide details below

Please ensure to provide any dates/deadlines