Report a Safeguarding Concern
If there is an emergency situation and you believe a child, young person or adult is in immediate danger of significant harm please
CALL 999 IMMEDIATELY before reporting with this form.
Should the concern need rapid attention, please alert the Safeguarding Officer by secure email
safeguarding@stpaulscamb.co.uk straight away, as well as completing this form. Please be assured, the e-mail is is not accessible by the Vicar, other clergy, or anyone on the Staff Team.
Please use the form below to report a safeguarding disclosure or concern.
1. This concern/disclosure is in relation to
2. Name of the child/vulnerable adult
3. Age of the child/vulnerable adult
4. Address and contact number of the child/vulnerable adult
5. Details of any persons suspected of any neglect and/or abuse (name, age, address if known)
6. When did you become aware of the concern?
7. Details of the concern. Include dates, times, places and names of all those involved
8. Is the child/adult aware that you are sharing this information?
9. If the concern is in relation to a child, is the parent/carer aware that you are sharing this information?
10. Enter your name and contact details