F Safety and Risk Issues – Are there any issues about the home If YES, provide details location or family circumstances that Unknown No Yes may pose a risk to a worker’s safety? Does any of the information provided in If YES, the mandatory reporter guide should this referral suggest that a risk of be completed and if indicated a report made Unknown No Yes significant harm report to the Child to the child protection helpline. Protection Helpline should be made? G Referral approval and acceptance – Brighter Futures Manager Accepts Referral (following referral Name Signature Date processing by Brighter Futures Unit)
F – Safety and Risk Issues Are there any issues about the home location or family circumstances that may pose a risk to a worker’s safety? Unknown No Yes If YES, provide details Does any of the information provided in this referral suggest that a risk of significant harm report to the Child Protection Helpline should be made? Unknown No Yes If YES, the mandatory reporter guide should be completed and if indicated a report made to the child protection helpline. G – Referral approval and acceptance Brighter Futures Manager Accepts Referral (following referral processing by Brighter Futures Unit) Name Signature Date
Appendix_3_Brighter_Futures_Community_Referral_Form.docx