Explanation given by the child/vulnerable adult including any key phrases they used. (Make sure you record exactly what was said by them and details of any questions/remarks from yourself): established during the disclosure: Name and contact details of all witness: YOUR NAME AND CONTACT DETAILS Name of the person completing this form: Position: Contact number: Are you a Designated Senior Person? YES/NO (delete as appropriate) Initial action taken and when: If a referral is made, is the child/vulnerable adult aware of the referral?
Explanation given by the child/vulnerable adult including any key phrases they used. (Make sure you record exactly what was said by them and details of any questions/remarks from yourself): established during the disclosure: Name and contact details of all witness: YOUR NAME AND CONTACT DETAILS Name of the person completing this form: Are you a Designated Senior Person? YES/NO (delete as appropriate) Position: Contact number: Initial action taken and when: If a referral is made, is the child/vulnerable adult aware of the referral?
ChildProtectionPolicy-May2015.docx