Child Safety Informal ReportChild Safety Informal ReportUse this form if you THINK something is not quite right – if things feel a bit off. We can help you work 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? 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 disputeIf this report is about your own experience, what do you think should happen to fix the problem?Is there any other information you can provide e.g did anyone else see it happen? Can we talk to that person?Submit Form
