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Safeguarding Report Form

This form is for reporting a incident or concern relating to an adult at risk, child or young person under 18. Please provide as much information as you can. If you require immediate advice and support out of hours, please contact Community Safety on 02476 522083. If you prefer, you can email directly to If you prefer, you can print and fill in a paper version of the form

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. 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

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