Child Protection Form

Child Protection Report Form

Staff Member Information

Staff Name(Required)
MM slash DD slash YYYY
Time of Incident(Required)

Student Information

Student's Name(Required)
Parent's Name
Please note here any other background details that may be relevant to this child protection report.

Summary of the situation / Description of the situation

Do not force the child or adolescent to report the situation *Never expand on the information or investigate

Data of the alleged perpetrator


Actions Implemented / Action taken by School

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