Our Wellbeing and Protection Manager, Ann Jane Malloy, can be contacted on 07521 505 746.

Alternatively, you can submit your concern below.


Complete Part A where the concern relates to the wellbeing of a child and/or Part B where the concern relates to the conduct of an adult. Finally, complete Part C to provide your contact information.

Part A - Where there are concerns about the wellbeing of a child

Safe, healthy, active, nurtured, achieving, respected, responsible, included.
1. Child Details
Child's Name
Address
DD slash MM slash YYYY
Child's Named Person
Preferred Language:
Is an interpreter required?
Any additional needs?
2. Details of situation giving rise to concerns
3. Details of any witnesses/other people involved
4. Details of any injuries
5. Child’s views on situation (if expressed).

Part B - Where there are concerns about the conduct of an adult

6. Details of adult where there are concerns about their conduct
Name
Address

Part C - Your contact information

11. Details of person recording concerns
Name
Address
This field is for validation purposes and should be left unchanged.

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