Initial contact questionnaire

Tell SPU Law what you need help with

This detailed form is for first contact and triage. It helps us understand deadlines, risk, access needs, conflict checks and whether SPU Law may be able to help.

Emergency warning
Do not use this form if there is immediate danger. Call 999 if there is immediate risk. For urgent health support, contact NHS 111 or your GP out of hours.

Data protection
Only provide information needed for triage. We will ask for separate consent before contacting third parties such as your GP, DWP, HMCTS, ACAS or an employer.

About you

Your basic details and how we can safely contact you.

Full name (as on official letters)

Preferred name

Date of birth

Postcode

Address

Phone

Best contact times

Safe to contact

Safe contact details

About your household

Optional, but helpful where caring responsibilities affect urgency or access needs.

Single parent or primary carer

Dependants count

Dependants have disabilities

Household details

What do you need help with?

Select all that apply and tell us the outcome you are hoping for.

Which area best fits your issue?

Welfare benefits application support (new claim/forms)

Welfare benefits challenge (Mandatory Reconsideration)

Welfare benefits appeal (SSCS Tribunal)

Employment issue (grievance/dismissal/discrimination/pay)

Employment Tribunal support

Other

Desired outcome

Brief summary of what has happened so far

Urgent deadlines

Decision letters, limitation dates, tribunal dates and appeal deadlines are very important.

Has decision letters or deadlines

Urgency level

Decision letter date

Received decision date

Deadlines

Submitted anything

Submitted details

Key dates

Employment

Complete this section if your enquiry is about work, dismissal, discrimination, pay, grievance or tribunal proceedings.

Employer name location

Job title start date

Still employed

What is the employment issue?

Employment key dates

Acas started

Acas details

Et1 submitted

Employment deadlines

Consent and data protection

Please read this before submitting. These confirmations are required for triage.

Privacy summary: SPU Law will use the information you provide to review and respond to this enquiry, carry out conflict and risk checks, and decide whether we can help or signpost you. Your enquiry may include sensitive legal, health, disability, financial, employment or safeguarding information. Do not include information that is not relevant to your request.

Typed signature or name

Declaration date

Final questions

Anything else that helps us understand the situation and urgency.

Why are you seeking help now?

Additional information

Conflict check informationNames of employers, respondents, connected people or organisations that may be relevant to a conflict check.

Referral source

Document checklists