Leicestershire's Voice, the County Council's Citizens' Panel

Do you want to have your opinion heard and have a real impact on how your services are developed? Join the Citizens' Panel using this form, and have your say! Find out more information about the Citizens' Panel

Please Note: Fields marked with an Asterisk (*) are required.

Comments ^*

Name ^*

House or Flat number or name ^*
Building Name (if applicable)
Street Name ^*
Village or Area (if applicable)
Post Town ^*
Postcode (e.g. LE3 8RA) ^*

Phone Number

E-mail address

The contents of this form will be emailed to someone at the County Council who may then respond to your email.

Please refer to the County Councils Privacy Policy (www.leics.gov.uk/privacy)

Personal data supplied on this form will be held on computer and will be used in accordance with the Data Protection Act 1998 for statistical analysis, management, planning and in the provision of services by the County Council and its partners.

The County Council will treat all information as confidential.

From time to time we would like to send you some information about services and ask you to take part in customer surveys.
Do you wish to take part in any surveys?

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Leicestershire's Voice, the County Council's Citizens' Panel

further information