Child Safeguarding/Prevent Report Form - Confidential
This form is to report any non-urgent concern(s) you may have with regard to child and young person protection/safeguarding including Prevent concerns.

In an emergency, or if you believe a child is at immediate risk of harm call the police on 999.

Information you enter will be seen only by the Principal or Director of Studies of Purley Language College and will be dealt with in the strictest confidence.

Listen carefully but never prompt a child to disclose anything. They must tell in their own words. Never promise to keep anything secret. If possible, call the Safeguarding Lead, the Principal Jan Fossgard, on 07773450961 or Sarah-Jane Reilly or Georgina Paterson the Safeguarding Staff on 02086605060.

Croydon's Single Point Of Contact hub (SPOC) offer urgent same-day intervention and child safety consultation for professionals who are unsure of how/where to refer a case.

For emergency intervention please call 0208 255 2888

To consult early help consultants or social workers in the SPOC for advice on non-urgent cases please call 0208 726 6464

Email address *
What is your name?
If you don't give your name it will be more difficult to follow up what you report
Your answer
When did you see/hear it? What time did it start? *
MM
/
DD
/
YYYY
Time
:
What were you doing at the time? *
Your answer
What did you see/hear? Who did it involve? *
Be factual. Only report what you actually saw or heard.
Your answer
Where did it take place? *
Your answer
Were there other witnesses? Who? *
Your answer
Write here anything else you would like to say *
eg reservations about what you have reported above,
Your answer
A copy of your responses will be emailed to the address you provided.
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