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Safeguarding Referral FormInformation contained on this form will form part of England Hockey investigation into the alleged incident.
As the person completing the form, please notify each
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How to fill out safeguarding referral form

How to fill out safeguarding referral form
01
Start by opening the safeguarding referral form.
02
Fill in the date and time of the referral.
03
Provide information about the person making the referral, including their name, contact details, and position.
04
Specify the details of the person or organization being referred, such as their name, age, address, and any identifying information.
05
Describe the concerns or reasons for making the referral. Be clear and specific, providing any relevant information or incidents.
06
Include any supporting documentation or evidence, such as witness statements, photographs, or medical records, if available.
07
Indicate if there has been any previous action taken or involvement from other agencies.
08
Sign and date the form to confirm the authenticity of the referral.
09
Submit the completed form to the appropriate authority or agency responsible for safeguarding.
Who needs safeguarding referral form?
01
Anyone who has concerns or suspicions about the welfare or safety of an individual may need to fill out a safeguarding referral form.
02
This can include professionals such as social workers, teachers, healthcare providers, police officers, or anyone who is in a position where they come into contact with vulnerable individuals.
03
In some cases, members of the public who have witnessed or become aware of possible abuse or harm may also need to fill out a safeguarding referral form.
04
The specific criteria for when a safeguarding referral is required may vary depending on the jurisdiction and organization, so it is important to consult the relevant guidelines or policies.
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What is safeguarding referral form?
A safeguarding referral form is a document used to report concerns about the safety and welfare of an individual, often used in contexts involving vulnerable populations, such as children or adults at risk.
Who is required to file safeguarding referral form?
Individuals who work with vulnerable populations, including professionals such as teachers, social workers, healthcare providers, and volunteers, are typically required to file safeguarding referral forms when they identify concerns.
How to fill out safeguarding referral form?
To fill out a safeguarding referral form, provide detailed information about the individual in question, describe the nature of the concern, include any observations or evidence, and supply your contact information for follow-up.
What is the purpose of safeguarding referral form?
The purpose of a safeguarding referral form is to formally document and communicate concerns regarding an individual’s safety, ensuring appropriate authorities can take timely action to protect that person.
What information must be reported on safeguarding referral form?
The form must typically include the individual's personal details, a description of the concerns, any relevant background information, dates and times of incidents, and the reporter's contact information.
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