Are you an owner-occupier?:

Is your accommodation rented; if so is your landlord?:

Who is in your household?:

What is your source of income?:

What type of debts do you have e.g. rent arrears, credit card, hire purchase?

Who lives in the household? List the gender and ages of the members of your household:

What is your council tax band?:

Is anyone in the household sick or disabled?:

Is anyone in the household retired?:

What is the employment status of the adults in the household? If employed please provide details of earnings and hours worked. Please provide income details of those adults who are not working:

Do you rent or own your accommodation?:

Are there any other special circumstances you would like us to know about?:

Is the enquiry about someone already in the UK or someone abroad?:

If already in the UK what is their immigration status and which country did they come from?:

If abroad, what country are they coming from and what is their relationship with the person already in the UK?:

What is their purpose in coming to the UK e.g. holiday, work?:

How long do they want to stay?:

If coming to join someone already in the UK, what is that person's immigration status?:

Where are they going to live?:

How will they support themselves financially (e.g. savings, work, person in the UK will support them)?:

Does the person wish to extend their stay or change their immigration status?:

Does the person want to apply for British Citizenship?:

Who lives in your household?:

Are you subject to immigration control, or have you previously returned to the UK after living abroad?:

Where are you living now?:

Why do you need to leave your current accommodation? When?:

Is anyone in the household pregnant?:

Are you homeless due to an emergency e.g. fire, flood?:

Is anyone in the household vulnerable because of old age disability or other reason?:

Why did you leave your previous accommodations?:

Which local authority do you want to apply to and why?:

When did you move in to your place of residence?:

If you are a home owner, is there a mortgage?:

If you are renting, who is your landlord and what rent if any is paid?:

Does the accommodation come with a job?:

Do you have a written agreement, if so whose name is it in?:

If you have nothing in writing, what did you agree verbally?:

Have you been given anything in writing asking you to leave the accommodation?:

What reason(s) has the landlord/lender given?:

Do you dispute the reasons?:

Are there any rent/mortgage arrears? How many weeks/months?:

Any reason for them? (eg delayed housing benefit payments):

Has the landlord (or anyone instructed by them) made the client's life difficult (to try to get them to leave)? eg cutting off gas/electric, changing locks, coming in uninvited, late night visits, racial/sexual abuse of client, threatened client?:

Are there any other issues you would like us to know about? If so please give details:

What are the goods and what is wrong with them?:

Who did you buy them from and when did you buy them?:

How were they bought (at traders premises, tele-sales, mail order, internet, doorstep sale etc)?:

What is your source of income?:

Was there any indication that they were faulty at the time?:

Was this pointed out?:

Did you check the goods?:

How did you pay?:

Do you have a receipt or credit agreement?:

What was the work or service that was supposed to be provided?:

What does the problem consist of?:

Was there any written contract?:

What is your source of income?:

Who did the work or supplied the service?:

When did you find it unsatisfactory?:

Was there work done that you didnt agree to?:

Was there any consequential loss, eg water pipe broken - house flooded:

How did you pay?:

Do you have a receipt or credit agreement?:

Are you and your partner (same or opposite sex) living together at present?:

Are you and your partner married or in a civil partnership?:

Has there been any violence?:

Are you or your partner subject to immigration control?:

Do both parties agree about what should happen?:

Are there any dependant children living with you?:

Are there any issues about where the children will live and/or their contact with your partner?:

Does the family get any benefits?:

Where do you and your partner's income come from e.g. working, benefits, tax credits, pensions?:

Is your present home rented or do you have a mortgage?:

Is the home in joint names or in one name? (whose?):

Are there any issues about who stays in the home?:

Do you need to leave (or ask partner to leave) at short notice (e.g. because of violence)?:

Are there things on joint credit?:

Any there any other issues not asked about that you would like us to know?:

Are you still working? If not when and why did you stop?:

Do you have a written contract?:

How long have you worked for employer?:

Are you a member of any Trade Union?:

Do you have household insurance that includes legal expenses?:

Do you want to change any of the terms or the role of your current job? If so, what?: