Allegation, Disclosure and Incident Report
Safeguarding Children and Vulnerable Adults - Equippers Church Surrey
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Who is filling in this report - please put your full name and your role in church *
Details on who this is about - include full names where possible of the person/people you are concerned about and the ages of any child/ren involved  *
Describe the incident/disclosure in detail and be clear and include as much information as possible, including date and time of incident/disclosure *
Actions taken e.g. if you spoke to a pastor/safeguarding lead (please include their name) and what advice you were given.  Also include if you followed the advice given and when these actions were taken *
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