Advice by email

Please complete the form below and press Send Message. Please note that we can only advise clients who live or work in the Milton Keynes area.

Data Protection Act 1998
In order to help you we need to maintain a record of your case, which may contain sensitive personal data. The law says we must get your consent to do this.  Completion and submission of the form below will be taken as your consent to maintain this record.  Everything you tell us will be treated confidentially but please be aware that email itself is not a secure method for sending confidential information. 

Please note that boxes marked with  **  are required to be completed; the others are optional.

It really helps us to keep statistics on which sections of the community are using our service and hence we would appreciate you answering a few questions about yourself.

Please check for any error messages below. If the email form continues to be displayed then it is likely that a validation check has failed. In particular, check the security code carefully. Note that it contains 5 characters which may be a combination of upper case letters, lower case letters and numbers.

MK CAB will endeavour to respond to your message within 5 working days.

Title **

Mr Mrs Miss Ms

Forename(s)

Surname **

Date of Birth (or Age)

Address **

Postcode **

Email Address **

Daytime Telephone Number

If we need further information may we contact you by

Telephone?
Letter?

Have you contacted MK CAB before?

No Yes

If so, roughly when was this?

Enquiry Subject

Benefits Debt Employment Housing Legal Relationships/Family Immigration/Nationality Other

Enquiry **

Ethnic Origin

White British White Irish White Roma/Gypsy/Traveller White Other Mixed White & Black Caribbean Mixed White & Black African Mixed White & Asian Mixed Other Asian or Asian British Indian Asian or Asian British Pakistani Asian or Asian British Bangladeshi Asian or Asian British Other Black or Black British African Black or Black British Caribbean Black or Black British Other Chinese Any other ethnic group Decline to provide

Housing Type

Council Rented Private Rented Housing Association Rented Owner Occupier Shared Ownership With relatives/friends Bed & Breakfast Temporary Accommodation Nowhere to stay Other Decline to provide

Do you consider yourself disabled?

No Yes

Security code

Please enter the above code

Click to send message