You can contact the LADO, Wilson on 01484 221 000 or alternatively on 07875 297 860. Please refer to for the procedure. Referrer Details Date notified to LADO Date of Allegation - If this is a historic allegation, leave the date blank and answer questions below Is this a historic Yes Approximate date of ☐ allegation? No historic allegation ☐ Name of the Referrer Agency Making the Referrer - Position held Referral Referrer - Organisation Name and Address Referrer - Telephone Referrer - Mobile Number Number Referrer Secure Email – Address For Example – GCSX and PNN Action taken by the Referrer Reason for the Referral - Detail of reported incident What is the Allegation Type - Emotional Physical When ☐ ☐ ☐ ☐ selecting Not Specified, please expand Neglect Sexual ☐ ☐ Not Specific Practice Concerns ☐ Inappropriate Behaviour Further Details of Allegation Type What type of Environment did the Parent/Carer ☐ Allegation occur? Work Environment ☐ Significant Others Involved Name Relationship to Relationship to Address Details Telephone / Emails person the allegation alleged victim Details is against
You can contact the LADO, Wilson on 01484 221 000 or alternatively on 07875 297 860. Please refer to for the procedure. Referrer Details Date notified to LADO Date of Allegation - If this is a historic allegation, leave the date blank and answer questions below Is this a historic allegation? Yes ☐ No ☐ Approximate date of historic allegation Name of the Referrer Agency Making the Referral Referrer - Position held Referrer - Organisation Name and Address Referrer - Telephone Number Referrer - Mobile Number Referrer – Secure Email Address – For Example GCSX and PNN Action taken by the Referrer Reason for the Referral - Detail of reported incident What is the Allegation Type - When selecting Not Specified, please expand Emotional Neglect Not Specific Inappropriate Behaviour ☐ ☐ ☐ ☐ Physical Sexual Practice Concerns ☐ ☐ ☐ Further Details of Allegation Type What type of Environment did the Allegation occur? Parent/Carer ☐ Work Environment ☐ Significant Others Involved Name Relationship to person the allegation is against Relationship to alleged victim Address Details Telephone / Emails Details
Safeguarding_and_Child_Protection_Policy_November_2016_-_Approved.docx