Skip Main Navigation
About us
News
Our impact
Client’s stories
Our people
Work for us
Our services
Civil
Family
Domestic Abuse
Housing
Housing Possessions
Child Contact Centre
Miscarriage of Justice Support
Citizens Advice Islington
Immigration Consultancy
Support us
Volunteer for us
Donate
Contact us
Donate
Menu
Close
About us
About us
News
Our impact
Client’s stories
Our people
Work for us
Our services
Our services
Civil
Family
Domestic Abuse
Housing
Housing Possessions
Child Contact Centre
Miscarriage of Justice Support
Citizens Advice Islington
Immigration Consultancy
Support us
Support us
Volunteer for us
Donate
Contact us
Donate
Step
1
of
11
9%
Please complete the following form to request advice from the Housing Team at RCJ Advice
We need to record information about you to help with your enquiry. We have a legitimate interest to do this. When we record and use your personal information we: only access it when we have a good reason, only share what is necessary and relevant, don’t sell it to commercial organisations and make sure it is kept safe in our secure case management system.
Completing this form does not guarantee that we can offer you an appointment.
Your form will be reviewed by the team and we aim to contact you within 5 working days.
Please select an option to proceed
Have you had an appointment with RCJ Advice in the last 3 months?
(Required)
Please select an option
Yes
No
I'm not sure
How did you hear about us?
(Required)
Please select an option
Self-referred (e.g. through internet search, recommendation by friends & family)
Referred by other legal advice/support organisation
Referred by non-legal organisation (for e.g. mental health support charities, GP's, food banks, community centres)
Referred by Court staff or Judiciary
PLEASE COMPLETE ALL SECTIONS OF THIS FORM AND THE CONSENT FORM
About You
Your Name
(Required)
First
Last
Do you have a home address?
(Required)
Yes
No
Your home address
Address Line
City/Town
Postcode
Phone
(Required)
Email
Details about your current living situation
Tell us about your current living situation
(Required)
Renter
Homeowner
Lodger
Living in temporary accommodation (including hostels, refuges, hotels)
Living with family or friends
Rough Sleeping
Other
Please specify the London Borough you reside and the month and year you moved in
Please specify the council area if you reside outside London and the month and year you moved in
Please specify if there is a special reason why you need to continue to living in your current area
Assistance
Do you need extra assistance for your appointment?
For example an interpreter or reasonable adjustments - please provide details.
If you will require an interpreter please state which language
Details about your family life
Tell us about your marital status:
(Required)
Single
Married/Civil Partner
Unmarried Partner and Cohabitating
Separated
Divorced/Civil Partnership dissolved
Widowed/Surviving Civil Partner
Prefer not to say
Other
If other (please specify)
Tell us about your dependents (you may tick more than one box)
(Required)
I have no dependent children
I have dependent child(ren) age(s) 15 and under
I have dependent child(ren) between ages 16-20 who are in education or training (please specify)
My dependent child(ren) live with me
My dependent child(ren) do not live with me
How many dependent child(ren) age(s) 15 and under?
How many dependent child(ren) between ages 16-20 who are in education or training do you have?
How much are your childcare cost per month?
How much are your maintenance payments per month?
Details about your financial situation
Tell us about your employment status (you may tick more than one box)
(Required)
Employment-Full Time
Employment-Part Time
Self-Employed-Full Time
Self-Employed-Part Time
Unemployed
Student
Director
Contractor
Retired
Other
Tell us your income and capital (you may tick more than one box)
(Required)
I am working
I am in receipt of State Pension or/and Private Pension
I am a student in receipt of a grant/scholarship/bursary
I do not have any savings or capital (including equity in property)
I have savings or/and capital (including equity in property) which values under £8,000
I have savings or/and capital (including equity in property) which values £8,000 or over
I am in receipt of NASS support or public funds/benefits
Other
If you are working please tell us your monthly income before any deductions
Are you receiving public funds/benefits?
(Required)
Yes
No
I have applied for public funds/benefits has been approved but I am still waiting for the first payment
Other
If you are in receipt of public funds/benefits or have approved/pending application, please state which public fund(s)/benefits(s) (you may tick more than one box)
(Required)
Income Support
Universal Credit
Income-based JSA
Pension credit
Income-related ESA
Not in receipt of public funds/benefits
Other
Details about your court case
Have you already visited your local citizens advice prior contacting us?
(Required)
Please select an option
Yes
No
I'm not sure
Have you been referred to us by your local citizens advice about your situation?
(Required)
Please select an option
Yes
No
Type of case
(Required)
You are homeless or threatened with homelessness
You are being threatened with possession of your home
You are being threatened with eviction from your home
You are seeking repairs to rented accommodation where your landlord is refusing to carry out the repairs and the disrepair pose a serious risk of harm to health or safety
You have been or are being threatened with unlawful eviction
You are being harassed by a neighbour or your landlord and require an injunction to enable you to continue to live in your home safely
Your landlord has applied for an antisocial behaviour injunction against you in the county Court
Who is your landlord? (if applicable)
Local Authority/Council
Private Landlord
Housing Association
Other
Tell us about your case in three lines or less (for example: possession proceedings due to rent arrears. Arrears are currently £X. Arrears caused by...)
(Required)
Do you have any deadlines?
For example; (possession hearing, eviction date, injunction hearing)
Yes
No
Date
DD slash MM slash YYYY
Please specify the date of your deadline
Supporting Documents
Upload your documents
Drop files here or
Select files
Max. file size: 20 MB.
Unable to upload your documents here?
Please send them via email to housing@rcjadvice.org.uk - clearly stating your full name and date of birth in the email.
Monitoring Equalities Data
Gender
Female
Male
Transgender
Non-binary
Prefer not to say
Other
Age
16-24
25-34
35-44
45-64
65-74
Prefer not to say
What is your ethnicity?
Asian or Asian British
Black, African, Caribbean or Black British
Mixed or Multiple ethnic groups
White
Prefer not to say
Other
Do you consider yourself to have a disability or health condition?
Mental Health
Physical
Cognitive
Sensory
None
Prefer not to say
Other
Consent and Feedback
We need your explicit consent to share your data with our volunteer solicitors
(Required)
Yes, I consent to share my information and documents with RCJ Advice's volunteer solicitors
Our service is staffed by both RCJ Advice employed solicitors and volunteer solicitors from local firms. We need your consent to share your data with them. If we cannot share your data with our volunteer solicitors, they will not be able to advise you.
We need your explicit consent to record and use your special category of personal data
Yes, I consent to you recording special category data
What is a special category of personal data?
This is information about a person that is sensitive and can put them at risk of discrimination. It includes information about ethnicity, and health conditions.
If you agree, we’ll use this information to give you advice, help us gather information to improve our service and support our research in a way that you can’t be identified.
Can we contact you for feedback?
Yes, I consent to you contacting me for feedback
We want to make sure our service meets your needs. To help us understand how we’re doing and to improve our service, we may want to contact you at a later date to ask for your feedback. We’ll decide who we contact for feedback based on the services you used and the advice area. We may also use your special category of personal data so that we hear from different groups.
Thank you for completing our form
Completing this form does not guarantee that we can offer you an appointment. Your form will be reviewed by the team and we aim to contact you within 5 working days.