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Significant Observation & Disclosure Reporting
If you have observed something concerning or something of concern has been disclosed to you, please fill out the form below to the best of your ability.
This goes straight to our safeguarding team, who take all reports seriously.
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Email
*
Your email
Are you reporting a significant observation or a disclosure?
*
Significant Observation
Disclosure
Date of Observed incident or Disclosure
*
MM
/
DD
/
YYYY
Time of Observed incident or Disclosure (as close as possible)
*
Time
:
AM
PM
Your Name
*
Your answer
Name of person this report refers to:
*
Your answer
Location, Event or Ministry
*
Your answer
Outline of Observation or Disclosure (
include all relevant information possible)
*
Your answer
Date Form Completed
*
MM
/
DD
/
YYYY
Time Form Completed
*
Time
:
AM
PM
Does the person know you are documenting and reporting their allegation?
*
Yes
No
A copy of your responses will be emailed to the address you provided.
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