Whistleblowing Concern Report Form

Please use this form for concerns about the behaviour / conduct of anyone in a caring or support role where you are unable to identify any individual child / adult who may be at risk of harm. If you would rather talk to someone outside of the Charity, you can call the Charity Commission’s free whistleblowing helpline on: 0800 055 7214.

If you are concerned about the behaviour of this person in relation to a specific child / adult you are able to name, then please complete and submit a Safeguarding Concern Report Form.

Whistleblowing Concern Report Form

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Your Name(Required)

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Your Name(Required)

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Your Email Address(Required)

Email Address

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The name of the person whose behaviour concerns you (if known)

The date on which your concern was triggered (by what you saw or heard)

All available information about your concern (please include: where, who was involved, what was said by whom, and any action taken by anyone)(Required)

Is the person whose behaviour concerns you aware that you are making this report?

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