Child Safety Formal ReportChild Safety Formal ReportPlease use this form if you KNOW something is wrong and you need help to handle it. We will contact you and see how we can help and discuss what we should do next.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? Yes NoDetails Please provide your details in case we need to contact you:First NameLast NameEmailPhone/MobileDate Incident OccurredWhere did the incident happen?Describe what happenedCan you tell us what sort of problem this is? (Only answer if you know. Select all that apply) Harassment or bullying Discrimination Sexual Sexuality or sexist (gender) Race (cultural background) Religion Disability Verbal, physical, emotional or other abuse (not a child) Unfair decision e.g selection disputeWe are here to support you.We will be in touch with you soon to discuss your report. We will outline the steps the investigation will take and help you identify an ideal outcome (what do we want to see happen, how will we know you're OK) If you need support please ask. We have access to a range of experts and can put in touch with the right person/group to support you. If you'd like support now please select below: Required to answer. Single choice. Yes, please talk to me about support No, I'm OK, or getting help alreadyIs there any other information you can provide e.g did anyone else see it happen? Can we talk to that person?Submit Form