Advocacy request form

Complete the form to request advocacy services.

  • This form will take approximately 10 minutes to complete.
  • Please allow yourself enough time to complete this form in one session as there is not an option to save and come back to it later.
  • The questions marked with an asterisk (*) are mandatory and require an answer. You do not have to answer all of the other questions, but it would help us if you do.

Application details

Select one of the options.


Young person's details

Enter your first name.
Enter your last name.
Enter your address name or number. This could your flat, house or building name or number.
Enter the first line of your address. This could be your street name.
Enter the second line of your address if you need to. This could be your village name.
Enter the town or city of your postal address.
Enter your postcode, with or without spaces.
Enter an email address where we can write to you.
Enter a daytime phone number that we can ring you on. This can be a mobile or land line number.
Enter the date of birth using numbers following the format dd/mm/yyyy, for example 01/12/2005.
Enter your age.
Enter details.

Submitting your form

Click the submit button only once.

Please be patient as it will take a few moments to process your form and redirect you to our confirmation page.

 

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  • West Sussex County Council will only use this email address to respond to any issues raised.