Child Safety Informal Report

Use this form if you think something is not quite right – if things feel a bit off. We can help you worth through it.

This form will be kept confidential. If something more serious happens and we need to take action we will tell you first. Do you understand this?(Required)

Details | Please provide some contact details in case we need to talk to you:

MM slash DD slash YYYY
Detail as many facts about what happened (or is happening) here. What did you see/hear/feel to make you think something is wrong?
Can you tell us what sort of problem this is? (only answer if you know)

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