OOSG - Report Abuse

SUBMIT AN ONLINE REPORT

Entity:

Catholic Schools Office / Systemic SchoolCatholicCareSt Nicholas Early Education / OOSHParishesOther

If Other

DETAILS OF PERSON MAKING REPORT (THE REPORTER)

First Name

Last Name

Role/Function:

Reporter Mobile Phone

Email Address

REPORTERS TEAM/PROGRAMME/PARISH/SCHOOL

Name

Address

Street addressStreet address line 2

City

State

Postcode

Country

WHEN DID THE REPORTER BECOME AWARE OF THE CHILD PROTECTION CONCERNS?

Date

Time

WHOM DID THE REPORTER REPORT THESE CONCERNS TO: (INTERNAL):

Who was reported to:

SupervisorAppropriate person

First Name

Surname

Role/Function:

Mobile/Phone:

REPORT DIRECTED TO (EXTERNAL): (TICK ALL RELEVANT BOXES AND COMPLETE DETAILS)

Report to Child Protection Helpline (Risk of significant harm)

Helpline Report No:

Was MRG Completed:

YesNo

Attach an electronic .pdf of the MRG Report to the Office of Safeguarding

Browse

NSW Police Force (allegation of criminality)

CoPS Event No:

Department of Education / Australian Children's Education and Care Quality Authority (ACECQA)

Notification No:

DETAILS OF THE INCIDENT OR INCIDENTS OF CONCERN INVOLVING A CHILD OR VULNERABLE ADULT

1. DETAILS OF THE PEOPLE INVOLVED IN THE ISSUES OF CONCERNS:

(List as much identifying detail as possible, e.g. full names, gender, dates of birth, home or work addresses, their roles in the Diocese, any special medical or other conditions relating to the persons, etc)

Child or class of children, person or group of people with disabilities:

Person or group of people alleged to have caused the incident of concerns:

Witnesses (if any):

2. DETAILS OF THE ALLEGED INCIDENT(S):

Who did it?
What did they do?
Who did they do it to?
Where did it happen? (location)
When did it happen? (time and date)

Details of the alleged incident(s):

3. OTHER INFORMATION / CORROBORATION (IF ANY):

(List any other information that may be of relevance. Consider any objects or other ‘physical proof that the alleged incident occurred – a detailed description of the object, where it is and who has control/possession/ownership of the object)

Other Information / Corroboration (if any):

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