This form should be used by anyone within the church who has concerns that a child or vulnerable adult may be at risk of/victim to abuse or neglect. It can also be used to report concerns of bullying. This could mean that:

- A child or young person has made a disclosure to you of abuse or neglect.
- An adult has made a disclosure to you of abuse.
- You have a suspicion that a child/young person or adult is the victim of abuse or neglect.
- There has been an incident of bullying or you are concerned an individual is being bullied.

Once submitted, your response will be sent to the Safeguarding Mailbox which is accessible only by the Safeguarding Officers (Ella Betts, Jake McKillop & Julie Smith). Although the mailbox is checked regularly,  please also call/text Ella Betts (07926 012 575) to highlight the submission of a form to ensure that the concern is picked up as soon as possible.