Your Details Please
remember to provide your email address before submitting otherwise
we have no way of sending an answer back to you |
| Name: |
|
| Email: |
|
Optional background information These questions are
completely optional. The information is useful for monitoring
purposes as it helps us to better understand who is using our
service. |
| Gender: |
|
| Ethnic background: |
|
| (Ethnic categories based on
England and Wales census question) |
| If other please
specify: |
|
| Region: |
|
| If London, borough: |
|
| If not London, city/village: |
|
| Disability? |
|
Past contact with Liberty |
|
Please provide details of any past contact with our advice
service, including when and whether it related to the same matter.
Please note if your last contact with us was more than 1 year ago,
the correspondence will be archived and we will not be able to
access it. |
|
Contact with other organisations |
|
Please provide details of any other organisations that you have
contacted about this matter, including when you contacted them and
any assistance provided: |
|
Your Query What is your question? Please provide relevant
details, but try to be as succinct as possible. |
| |
| Date submitted: |
|
| |
|