HIGH RES WESTMINSTER ADVOCATE SERVICE (1

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CRM REGISTRATION FORM

Workplace Advocacy Membership Registration Form

Disclaimer: Westminster Advocate Service™ provides support, advocacy, and casework assistance to clients navigating public services and statutory processes. We are not a regulated law firm and do not offer legal advice under the Legal Services Act 2007. For matters requiring formal legal advice or representation, clients will be referred to qualified solicitors or barristers.

Please complete the registration form below to provide your contact details and authorise us to act on your behalf when required.

Once submitted, you will be automatically directed to our appointment booking page to schedule your Case Review and Strategy Session.

No payment is required at this stage. Your preferred payment method will be confirmed securely during the booking process.

We look forward to supporting you.

Estimated time to complete: 5–7 minutes

Company name

Who do you work for? Leave blank if self-employed as a sole trader.

Position*

Enter your current job title or role. If you're self-employed, you can enter 'Sole Trader' or your business function.

Title*

First name*

Last name*

Email*

Yes, subscribe me to your newsletter.

WhatsApp Phone number*

Date of Birth*

Day

Month

Year

We require your date of birth so we can communicate on your behalf with your signed consent letter, and to verify your identity in line with our GDPR obligations.

Multi-line address

Country/Region*

Address*

Address - line 2

City*

Zip / Postal code*

Signature*

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

I authorise Westminster Advocate Service to communicate on my behalf. My information will not be shared with third parties unless I provide explicit consent. Please sign using your fingertip.

Select a Membership Plan (required):*

Advocacy Support at Work – 210 minutes/month - £300 per month

Advocacy Support at Work – 300 minutes/month - £449 per month

30 minutes - a one-off session, not part of any membership – £65

Prices shown are subject to 20% VAT.

How do you intend to pay? (please select one):

Access to Work scheme

Direct Payment

Self-funded

What is your gender? (Optional — for registration purposes only)

Female

Male

What is your disability or condition?*

Deaf or Hard of Hearing

Blind or Visually Impaired

Speech or Communication Difficulty

Physical Disability or Mobility Impairment

Chronic Health Condition (e.g. epilepsy, diabetes, ME/CFS)

Neurodivergent (e.g. autism, ADHD)

Mental Health Condition (e.g. anxiety, depression)

Learning Disability or Difficulty (e.g. dyslexia, dyspraxia)

Acquired Brain Injury

Long COVID

Other (please specify)

Westminster Advocate Service is committed to protecting your personal data in accordance with the UK General Data Protection Regulation (UK GDPR) and the Data Protection Act 2018.

The information you provide will be used solely for advocacy purposes and will not be shared with any third party without your explicit consent, except where disclosure is required by law.

HOW WE USE YOUR DATA

To assess and process your registration
To contact you regarding your enquiry
To provide advocacy services as requested
To comply with legal and regulatory obligations

Click here to read our full Privacy Policy.

IMPORTANT NOTICE

Membership fees are based on reserved availability, not actual usage.
Unused minutes are non-refundable and cannot be carried forward.
By submitting this form, you agree to enter into a service agreement with Westminster Advocate Service.
Invoices are generated monthly.
Accepted payment methods include Access to Work, Direct Payment, or Self-funding.

TERMINATION POLICY

All memberships require 30 days’ written notice to terminate.
No refunds will be issued for unused minutes during the notice period.
If no formal notice is received, billing will continue until a 30-day written notice is provided.

I understand and accept that by submitting this form I am entering into a service agreement with Westminster Advocate Service.*

I agree

I confirm that I have read and agree to the Privacy Policy and consent to the processing of my personal data as outlined below.*

I agree

I understand that monthly invoices must be paid either personally or via Access to Work.*

I agree

WESTMINSTER ADVOCATE SERVICE™

Available 24 hours, 7 days a week

Telephone: 0800 7 555 927

WhatsApp: 0800 7 555 927

LEGAL AND POLICY LINKS

Policies & Complaints

Consent & Confidentiality

Trademark Notice

Westminster Advocate Service Ltd | A UK-First Deaf and Disability-led private advocacy service
Registered in England and Wales (Company No. 15603930)
Registered Office: 5 Brayford Square, London, E1 0SG
VAT No. 491 3149 86 · ICO Registration: ZB694262
Fully Insured · Serving clients UK-wide

Westminster Advocate Service Ltd is a registered supplier with Westminster City Council.

Disclaimer: Westminster Advocate Service™ provides support, advocacy, and casework assistance to clients navigating public services and statutory processes. We are not a regulated law firm and do not offer legal advice under the Legal Services Act 2007. For matters requiring formal legal advice or representation, clients are referred to qualified solicitors or barristers.