Child Victimisation Service Provider Form

The Centre for Justice and Crime Prevention (CJCP) is creating an online platform for child victims of crime to increase children's access to services. The platform will allow children to indicate anonymously that they have been victimised, and then be provided with the contact details of their nearest service provider.

This form is for service providers.

Complete and submit this form if you provide services that are relevant for child victims of crime in South Africa.

If you have more than one office, please register each office separately - one per form submission.

Your details will then be added to the database. There are no costs attached to participating in this platform.

To learn more about CJCP, please visit www.cjcp.org.za.

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    Physical Address

    Type in the physical address of your office.
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    Contact Details

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    Services You Provide for Child Victims of Crime

    Tick all the services you currently offer to child victims of crime
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