Please tick the two legal conditions you have used to satisfy the processing of personal and special category information about the person you are referring

Is the person eligible for advocacy from CASBA? (If you answer "no" to any of the next three questions, then please contact us on 0121 475 0777 to see if we can direct you to a more appropriate service.)

Information about you, the referrer

Information about the person you are referring

Do we need to be aware of any risks when meeting with the person you are referring?

We require the following information for monitoring purposes you can choose not to give an answer.  However, we can use this information to ensure we are reaching all those we need to.