eKitabu Safeguarding Incident Reporting Form

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This form should be used to record safeguarding concerns relating to children and/or vulnerable persons in any eKitabu project. In an emergency please do not delay in informing the police or social services. All the information will be treated as confidential and will be reported directly to the eKitabu Child Safeguarding global and local leads.

Do you wish to remain anonymous? *

Yes

If you wish to remain anonymous, is there anyone we can contact related to the project, program or incident? Please let us know the person your recommend and how to reach them if available.

Details of the incident (please describe in detail using only the facts)
*

When did the incident take place (closest date you can recall)? *

YYYY

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This form was created inside of eKitabu.