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Braunstone Evangelical Free Church-Safeguarding Form
Incident Report Form for Safeguarding Concerns
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* Indicates required question
Name of individual completing the form
*
Your answer
Name of child/young person
*
Your answer
Date Recorded
*
MM
/
DD
/
YYYY
Date of incident
MM
/
DD
/
YYYY
Details of incident
(try to use the exact words of the individual(s) as much as possible)
Your answer
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