Safeguarding Concern Form

How to fill in the form

If you are worried about a child or young person who could be in immediate danger please contact:

• Children's Social Care on 0300 123 2224
• or the police by dialling 999 (or 101 if you feel the child is not at risk of immediate harm)

If you have a concern about a child's welfare, but you do not feel they are in immediate danger, please record your concerns on here and submit.

Please complete all fields marked (*)

Your Name

You do not need to complete this.

Email (this is not a required field)

Email (this is not a required field)

Name of child you are concerned about (if known) *

What have you seen or heard that has made you concerned about the child. *

Have you done anything about your concern? *

ie phoned Children's Social Care, called Police, etc