Safeguarding Incident Reporting Form

This form is for reporting an incident or concern relating to a child or young person under 18 years of age. Please provide as much information as you can.

If you choose to report anonymously, we will not ask you for any personally identifiable information. We will not be able to offer direct advice in this instance, but we will act upon the information provided where details allow. Under GDPR regulations, a person can make a Subject Access Request to request any information held about them. It is possible that if such a request is made, that your concern may be shared with them and that you may be identifiable from this information.

Full name:

Email address:

University ID (if applicable):

Trainee name:

Relationship to the trainee

Cohort/route (if applicable):

Placement school (if applicable):

Please describe the incident or concern:

Further information:

Your opinions:

Action taken:

Other comments:

Privacy notice

The information collected on this form will be used solely to support the University of Warwick's Safeguarding/Child Protection Policy.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University’s Data Protection webpages provide further information on your rights and how the University processes personal data. Please submit any data subject rights requests to infocompliance@warwick.ac.uk or address any complaints or suspected breaches to the University’s Data Protection Officer at DPO@warwick.ac.uk.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.

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Safeguarding Incident Reporting Form

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