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Reporting Online safety incidents and issues
Fill this form to report any online safety issues that happens at home.
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Email
*
Your email
Name of the person reporting
Your answer
Phone Number of the person reporting
Your answer
Date of the online safety incident
MM
/
DD
/
YYYY
Where did the online safety incident happen?
Home
School
Other:
Clear selection
Description of the incident
Your answer
Name(s) of those involved in the incident
Your answer
Age(s) of the children involved in the incident
Your answer
The incident was
Child on child
Child on adult
Adult on child
Adult on adult
Staff member on child
Other:
Clear selection
What type of incident was it?
Sexual
Inappropriate Language
Violence
Cyberbullying
Grooming
Other:
How was the content accessed?
Laptop
Tablet
Phone
Desktop Computer
School
Home
Friend's place
Laptop
Tablet
Phone
Desktop Computer
School
Home
Friend's place
Any other details about the incident
Your answer
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