{"id":35311,"date":"2022-03-21T11:01:41","date_gmt":"2022-03-21T11:01:41","guid":{"rendered":"https:\/\/cawatford.org.uk\/internal\/?page_id=35311"},"modified":"2022-03-22T13:29:49","modified_gmt":"2022-03-22T13:29:49","slug":"wcht-your-money-matters-enquiry-form","status":"publish","type":"page","link":"https:\/\/cawatford.org.uk\/internal\/wcht-your-money-matters-enquiry-form\/","title":{"rendered":"Your Money Matters Enquiry Form"},"content":{"rendered":"<p>[vc_row][vc_column][vc_column_text]This enquiry form is only to be used by residents of Watford Community Housing who want help with money\/debt advice.<\/p>\n<p>If you would like help with any other matters, or if you are not a Watford Community Housing resident and live or work in Watford, please use our general Enquiry Form at <a href=\"https:\/\/cawatford.org.uk\/internal\/client-enquiry-form\/\" target=\"_blank\" rel=\"noopener\">cawatford.org.uk<\/a> or phone our Adviceline on 0800 144 8848.<\/p>\n<p>We will contact you within 3 working days following receipt of your request. If your matter is urgent, please contact our Adviceline or visit our drop in service.<\/p>\n<div class=\"frm_forms  with_frm_style frm_style_cab-style\" id=\"frm_form_30_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_wcht-enquiry-form\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">WCHT enquiry form<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"30\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_30\" id=\"frm_hide_fields_30\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"wcht-enquiry-form\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_30\" name=\"frm_submit_entry_30\" value=\"6ce31b5efa\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/internal\/wp-json\/wp\/v2\/pages\/35311\" \/><div id=\"frm_field_694_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div  id=\"field_blfwn228df53a71_label\" class=\"frm_primary_label\">Please tell us if you are happy for us to store your personal information on our systems. You can change your mind at any time and ask for your details to be removed, simply write to us.\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_blfwn228df53a71_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_694-0\">\t\t\t<label  for=\"field_blfwn228df53a71-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[694]\" id=\"field_blfwn228df53a71-0\" value=\"Yes\"\n\t\t   data-reqmsg=\"Please tell us if you are happy for us to store your personal information on our systems. You can change your mind at any time and ask for your details to be removed, simply write to us. cannot be blank.\" data-invmsg=\"Please tell us if you are happy for us to store your personal information on our systems. You can change your mind at any time and ask for your details to be removed, simply write to us. is invalid\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_694-1\">\t\t\t<label  for=\"field_blfwn228df53a71-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[694]\" id=\"field_blfwn228df53a71-1\" value=\"No\"\n\t\t   data-reqmsg=\"Please tell us if you are happy for us to store your personal information on our systems. You can change your mind at any time and ask for your details to be removed, simply write to us. cannot be blank.\" data-invmsg=\"Please tell us if you are happy for us to store your personal information on our systems. You can change your mind at any time and ask for your details to be removed, simply write to us. is invalid\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_695_container\" class=\"frm_form_field  frm_html_container form-field\"><strong>Please note that without your consent to record this data, the advice we can provide may be limited<\/strong><\/div>\n<div id=\"frm_field_696_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_rj0t53bd5523f84ea1976048c\" id=\"field_rj0t53bd5523f84ea1976048c_label\" class=\"frm_primary_label\">First Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_rj0t53bd5523f84ea1976048c\" name=\"item_meta[696]\" value=\"\"  data-reqmsg=\"First Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_697_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_6aqhzf22f4bc52e1240e1025a\" id=\"field_6aqhzf22f4bc52e1240e1025a_label\" class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_6aqhzf22f4bc52e1240e1025a\" name=\"item_meta[697]\" value=\"\"  data-reqmsg=\"Last Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_698_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_ao05dcdc3f6fab45a7b1b4dcc\" id=\"field_ao05dcdc3f6fab45a7b1b4dcc_label\" class=\"frm_primary_label\">Date of birth dd\/mm\/yyyy\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ao05dcdc3f6fab45a7b1b4dcc\" name=\"item_meta[698]\" value=\"\"  data-frmmask=\"99\/99\/9999\" data-reqmsg=\"Date of birth dd\/mm\/yyyy cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\" pattern=\"\\d\\d\\\/\\d\\d\\\/\\d\\d\\d\\d$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_699_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_74kdg1812b27e744c6aa085ba\" id=\"field_74kdg1812b27e744c6aa085ba_label\" class=\"frm_primary_label\">House number and street\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_74kdg1812b27e744c6aa085ba\" name=\"item_meta[699]\" value=\"\"  data-reqmsg=\"House number and street cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_700_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_8au1v98a6eda331ddd997ebbf\" id=\"field_8au1v98a6eda331ddd997ebbf_label\" class=\"frm_primary_label\">Town\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_8au1v98a6eda331ddd997ebbf\" name=\"item_meta[700]\" value=\"\"  data-reqmsg=\"Town cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_701_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_5r8u75d36e389e711761388f5\" id=\"field_5r8u75d36e389e711761388f5_label\" class=\"frm_primary_label\">Postcode\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_5r8u75d36e389e711761388f5\" name=\"item_meta[701]\" value=\"\"  data-reqmsg=\"Postcode cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_702_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_93lze3937ee41e367051b8443\" id=\"field_93lze3937ee41e367051b8443_label\" class=\"frm_primary_label\">Phone\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_93lze3937ee41e367051b8443\" name=\"item_meta[702]\" value=\"\"  data-reqmsg=\"Phone cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_93lze3937ee41e367051b8443\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_93lze3937ee41e367051b8443\">Note: Calls from us will be from a withheld number<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_703_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_l1b3ke5fc7fa58ece8ff928c0\" id=\"field_l1b3ke5fc7fa58ece8ff928c0_label\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_l1b3ke5fc7fa58ece8ff928c0\" name=\"item_meta[703]\" value=\"\"  data-reqmsg=\"Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_l1b3ke5fc7fa58ece8ff928c0\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_l1b3ke5fc7fa58ece8ff928c0\">Enter email<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_conf_703_container\" class=\"frm_form_field frm_hidden_container frm_conf_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_conf_l1b3ke5fc7fa58ece8ff928c0\" id=\"field_conf_l1b3ke5fc7fa58ece8ff928c0_label\" class=\"frm_conf_label frm_primary_label\">Confirm Email\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_conf_l1b3ke5fc7fa58ece8ff928c0\" name=\"item_meta[conf_703]\" value=\"\"  data-reqmsg=\"Confirm Email cannot be blank.\" aria-required=\"true\" data-confmsg=\"The entered values do not match\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_conf_l1b3ke5fc7fa58ece8ff928c0\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_conf_l1b3ke5fc7fa58ece8ff928c0\">Confirm email<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_704_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half vertical_radio\">\r\n    <div  id=\"field_mv4cya72ee4e2b2_label\" class=\"frm_primary_label\">Can we contact you and send information to you by email?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_mv4cya72ee4e2b2_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_704-0\">\t\t\t<label  for=\"field_mv4cya72ee4e2b2-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[704]\" id=\"field_mv4cya72ee4e2b2-0\" value=\"Yes\"\n\t\t   data-reqmsg=\"Can we contact you and send information to you by email? cannot be blank.\" data-invmsg=\"Can we contact you and send information to you by email? is invalid\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_704-1\">\t\t\t<label  for=\"field_mv4cya72ee4e2b2-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[704]\" id=\"field_mv4cya72ee4e2b2-1\" value=\"No\"\n\t\t   data-reqmsg=\"Can we contact you and send information to you by email? cannot be blank.\" data-invmsg=\"Can we contact you and send information to you by email? is invalid\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_705_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half vertical_radio\">\r\n    <div  id=\"field_wlw4j291a36deae_label\" class=\"frm_primary_label\">Can we contact you by sending a letter to your address?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_wlw4j291a36deae_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_705-0\">\t\t\t<label  for=\"field_wlw4j291a36deae-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[705]\" id=\"field_wlw4j291a36deae-0\" value=\"Yes\"\n\t\t   data-reqmsg=\"Can we contact you by sending a letter to your address? cannot be blank.\" data-invmsg=\"Can we contact you by sending a letter to your address? is invalid\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_705-1\">\t\t\t<label  for=\"field_wlw4j291a36deae-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[705]\" id=\"field_wlw4j291a36deae-1\" value=\"No\"\n\t\t   data-reqmsg=\"Can we contact you by sending a letter to your address? cannot be blank.\" data-invmsg=\"Can we contact you by sending a letter to your address? is invalid\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_706_container\" class=\"frm_form_field form-field  frm_top_container frm_four_col\">\r\n    <div  id=\"field_3dku7aab479be45_label\" class=\"frm_primary_label\">We may need to call you for more information. Please tell us when it's best to contact you.\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_3dku7aab479be45_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_706-0\">\t\t\t<label  for=\"field_3dku7aab479be45-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[706][]\" id=\"field_3dku7aab479be45-0\" value=\"Monday am\"  data-invmsg=\"We may need to call you for more information. Please tell us when it&#039;s best to contact you. is invalid\"   \/> Monday am<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_706-1\">\t\t\t<label  for=\"field_3dku7aab479be45-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[706][]\" id=\"field_3dku7aab479be45-1\" value=\"Monday pm\"  data-invmsg=\"We may need to call you for more information. Please tell us when it&#039;s best to contact you. is invalid\"   \/> Monday pm<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_706-2\">\t\t\t<label  for=\"field_3dku7aab479be45-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[706][]\" id=\"field_3dku7aab479be45-2\" value=\"Tuesday am\"  data-invmsg=\"We may need to call you for more information. Please tell us when it&#039;s best to contact you. is invalid\"   \/> Tuesday am<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_706-3\">\t\t\t<label  for=\"field_3dku7aab479be45-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[706][]\" id=\"field_3dku7aab479be45-3\" value=\"Tuesday pm\"  data-invmsg=\"We may need to call you for more information. Please tell us when it&#039;s best to contact you. is invalid\"   \/> Tuesday pm<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_706-4\">\t\t\t<label  for=\"field_3dku7aab479be45-4\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[706][]\" id=\"field_3dku7aab479be45-4\" value=\"Wednesday am\"  data-invmsg=\"We may need to call you for more information. Please tell us when it&#039;s best to contact you. is invalid\"   \/> Wednesday am<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_706-5\">\t\t\t<label  for=\"field_3dku7aab479be45-5\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[706][]\" id=\"field_3dku7aab479be45-5\" value=\"Wednesday pm\"  data-invmsg=\"We may need to call you for more information. Please tell us when it&#039;s best to contact you. is invalid\"   \/> Wednesday pm<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_706-6\">\t\t\t<label  for=\"field_3dku7aab479be45-6\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[706][]\" id=\"field_3dku7aab479be45-6\" value=\"Thursday am\"  data-invmsg=\"We may need to call you for more information. Please tell us when it&#039;s best to contact you. is invalid\"   \/> Thursday am<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_706-7\">\t\t\t<label  for=\"field_3dku7aab479be45-7\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[706][]\" id=\"field_3dku7aab479be45-7\" value=\"Thursday pm\"  data-invmsg=\"We may need to call you for more information. Please tell us when it&#039;s best to contact you. is invalid\"   \/> Thursday pm<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_707_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half vertical_radio\">\r\n    <div  id=\"field_t5szhc05e36abdf067713411d_label\" class=\"frm_primary_label\">Can we leave a voicemail?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_t5szhc05e36abdf067713411d_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_707-0\">\t\t\t<label  for=\"field_t5szhc05e36abdf067713411d-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[707]\" id=\"field_t5szhc05e36abdf067713411d-0\" value=\"Yes\"\n\t\t   data-reqmsg=\"Can we leave a voicemail? cannot be blank.\" data-invmsg=\"Can we leave a voicemail? is invalid\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_707-1\">\t\t\t<label  for=\"field_t5szhc05e36abdf067713411d-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[707]\" id=\"field_t5szhc05e36abdf067713411d-1\" value=\"No\"\n\t\t   data-reqmsg=\"Can we leave a voicemail? cannot be blank.\" data-invmsg=\"Can we leave a voicemail? is invalid\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_708_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half vertical_radio\">\r\n    <div  id=\"field_ppwand548e09139f2e32108b6_label\" class=\"frm_primary_label\">Have you contacted us before?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_ppwand548e09139f2e32108b6_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_708-0\">\t\t\t<label  for=\"field_ppwand548e09139f2e32108b6-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[708]\" id=\"field_ppwand548e09139f2e32108b6-0\" value=\"Yes\"\n\t\t   data-reqmsg=\"Have you contacted us before? cannot be blank.\" data-invmsg=\"Have you contacted us before? is invalid\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_708-1\">\t\t\t<label  for=\"field_ppwand548e09139f2e32108b6-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[708]\" id=\"field_ppwand548e09139f2e32108b6-1\" value=\"No\"\n\t\t   data-reqmsg=\"Have you contacted us before? cannot be blank.\" data-invmsg=\"Have you contacted us before? is invalid\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_709_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_ssmqm5623e40f332334aa1cff\" id=\"field_ssmqm5623e40f332334aa1cff_label\" class=\"frm_primary_label\">Tell us about your issue, are there any emergencies or deadlines we need to be aware of, what steps you have taken and what assistance you require from us\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[709]\" id=\"field_ssmqm5623e40f332334aa1cff\" rows=\"5\"  data-reqmsg=\"Tell us about your issue, are there any emergencies or deadlines we need to be aware of, what steps you have taken and what assistance you require from us cannot be blank.\" aria-required=\"true\" data-invmsg=\"Tell us about your issue, are there any emergencies or deadlines we need to be aware of, what steps you have taken and what assistance you require from us is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_710_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_three_col\">\r\n    <div  id=\"field_dzabldfb272185da51ed60122_label\" class=\"frm_primary_label\">Where the information you provide includes Special Category Data, we require your explicit consent to record this information. I agree to you holding information on (please tick):\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_dzabldfb272185da51ed60122_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_710-5\">\t\t\t<label  for=\"field_dzabldfb272185da51ed60122-5\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[710][]\" id=\"field_dzabldfb272185da51ed60122-5\" value=\"No Special Category Data\"  data-reqmsg=\"Where the information you provide includes Special Category Data, we require your explicit consent to record this information. I agree to you holding information on (please tick): cannot be blank.\" data-invmsg=\"Where the information you provide includes Special Category Data, we require your explicit consent to record this information. I agree to you holding information on (please tick): is invalid\"   aria-required=\"true\"  \/> No Special Category Data<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_710-0\">\t\t\t<label  for=\"field_dzabldfb272185da51ed60122-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[710][]\" id=\"field_dzabldfb272185da51ed60122-0\" value=\"Ethnicity\"  data-reqmsg=\"Where the information you provide includes Special Category Data, we require your explicit consent to record this information. I agree to you holding information on (please tick): cannot be blank.\" data-invmsg=\"Where the information you provide includes Special Category Data, we require your explicit consent to record this information. 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