0116 2421120 
enquiries@leicesterlawcentre.org.uk 
Supporting Leicester and Leicestershire since 1979 

Referral Form 

Once we have received and processed your referral, one of our team will be in touch to discuss how we may be able to help. 
Please note that in some instances,we may need to contact you to complete an initial assessment and collect further details to establish if we can help you. This process is most quickly completed via telephone.  

Your Details 

Contact Preferences 

Please use the boxes below to indicate your consent and preference for how our team contact you: 

Support required (please tick all that apply) 

Debt 

Housing 

Immigration 

Welfare Benefits 

Additional Information 

Data Protection and Privacy