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Child Protection Policy - Safeguarding Incident Reporting Form

This form is for recording an incident. If you require immediate advice and support out of hours, please contact Security Services on 02476 522083. Once submitted, this form will be responded to as fast as possible, but if there is urgent concern for the safety of a child, do call Security Services and/or the Police/emergency services as appropriate. If you prefer, you can print and fill in a paper version of the form and email it to or bring to the Director of Delivery Assurance, University House.

Child/Young Person's Details
Gender (required)

The Incident

Contextual Information
Have the young person’s parents or carers been informed? (required)
Has the young person/ parent or carer given their consent for you to share the information? (required)
If a referral has been made to children’s social care – has a copy of this report been sent to them within 24 hours? (required)
Has the incident been recorded promptly and stored safely? (required)
Privacy notice
The information collected on this form will be used solely to support the University of Warwick's 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 or address any complaints or suspected breaches to the University’s Data Protection Officer at

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