This form must only be used to report a safeguarding concern to West Midlands Police Sports & Wellbeing Association.  For any other club enquiries, whistleblowing processes or complaints, please refer to the relevant procedures.

You must provide your contact details so that we can obtain further information from you, if necessary.  West Midlands Police Sports & Wellbeing Association will use the personal information that you provide in accordance with West Midlands Police Sports & Wellbeing Association’s privacy policy (as may be updated from time to time).

If you have any problems completing the form or are unsure of whether to report something, please contact us at [email protected].

In an emergency and/or if you are concerned that someone is at immediate risk of harm, please call the police without delay on 999.

 

Please enable JavaScript in your browser to complete this form.

DETAILS OF PERSON REPORTING:

Your Name
Address

DETAILS OF THOSE INVOLVED: Child / Adult details (at risk)

Name
Address

PARENT / CARER INFORMATION (if applicable)

Name

SUSPECTED PERPETRATOR (if known)

Name

DETAILS OF CONCERN