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Incident Details
Name of referrer
Contact details for referrer
Name of Victim
Contact details for Victim
Name of Suspect
Contact details for Suspect
Date of the incident
Time of the incident
Which type of abuse is suspected
Physical Abuse
Emotional Abuse
Sexual Abuse
Neglect
Bullying or Cyberbullying
Mental Health
Radicalisation
Early Help
Child Criminal Exploitation
County Lines
Child Sexual Exploitation
Eating Disorder
Honour Based Violence
Female Genital Mutilation
Forced Marriage
Sexual Harrasement
Domestic Abuse
Discriminatory Abuse
Substance Abuse
Site Security
Self-Harm
Inappropriate behaviour/language
Child-on-Child Abuse
Harmful Sexual Behaviour
Missing Child
Suicide Ideation/Attempt
Online Risks
Other
Detail of incident/concern including a timeline of events
Actions taken after the incident and by whom
Other incidents or information relevant to this person
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Attachments
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