Whistleblowing Concern Report Form

Last updated: August 2024

Whistleblowing is the reporting of suspected wrongdoing. Anyone should ‘whistleblow’ if they have a concern that someone in a caring or support role, or in a position of trust, is in some way abusing their position.

If you have a concern that the actions of a staff member, volunteer or trustee are putting someone in danger or at risk – for example they are ignoring a medical emergency or causing injury or harm – act straightaway. Call 999 for emergency services.

If your concerns about the actions of a staff member, volunteer or trustee are not ones creating immediate danger or risk, please let us know by completing this form and we will look into them:

Whistleblowing Concern Report Form

This field is hidden when viewing the form

Next Steps: Sync an Email Add-On

To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.

Your Name(Required)

First

Last

Your Email Address(Required)

Email Address

Confirm Email Address

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?

I consent to SMA UK safely storing and using this contact information so that you can respond to my request. SMA UK will not share my information with any third party unless I give permission or they are required to do so by law. I know I can read more about this in our Privacy Policy

please tick

CAPTCHA