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            Safeguarding Concern Report

            Safeguarding Concern Report Form

            If you have concerns for the immediate safety of a child or adult call 000.

            Download The Safeguarding Responding and Reporting Abuse Quick Guide to help you understand the reporting process.

            Anyone can use this form to report all abuse or concerns about the well-being of a child or adult or a safeguarding incident within the Catholic Archdiocese of Perth.

            All concerns, allegations or complaints will be taken seriously and treated with sensitivity. Matters will be acted on in accordance with the Archdiocesan Privacy Policy and with moral, ethical and legal obligations.

            It is a legal requirement for Mandated Reporters (Children and Community Services Act 2004) who form a belief on reasonable grounds, to report child sexual abuse to the Department of Communities’ Mandatory Reporting Service.

            The Catholic Archdiocese of Perth is to comply with the Reportable Conduct Scheme to report Reportable Conduct and Convictions by notifying the Ombudsman of allegations of, or convictions of child abuse by employees (paid, volunteer, contractor, minister of religion and certain carers and educators).

            If you require assistance completing this e-form, please contact the Director, Safeguarding Program on +61 (08) 9221 7762.

            If you would prefer to use a Word version, please Download .

            I am providing(Required)
            Full Name
            THIS SECTION IS FOR RECORDING DETIALS OF THE PERSON YOU ARE REPORTING ON BEHALF OF. IF THEY WISH TO REMAIN ANONYMOUS MARK "ANONYMOUS"
            Please specify exactly what role and what location in the Archdiocese or mark Not Applicable(N/A)

            Does the concern involve a child under the age of 18 years?(Required)

            IF YOU HAVE CONCERNS FOR THE IMMEDIATE SAFETY OF THIS CHILD, CONTACT OOO OR THE DEPARTMENT OF COMMUNITES - CHILD PROTECTION OFFICE ON 1800 273 889.

            Name of the person or location/address you are reporting about:(Required)

            Detailed Report

            Max. file size: 128 MB.

            Your details:

            Would you like to remain anonymous?
            Full Name(Required)
            THIS SECTION IS TO RECORD YOUR DETIALS AS THE REPORTER. NOT WHO YOU ARE REPORTING ON BEHALF OF.
            Please specify exactly what role in the Archdiocese or mark Not Applicable(N/A)

            Please note:

            IF YOU WISH TO REMIAN ANONYMOUS YOUR SUBMISSION WILL BE RECIEVED, HOWEVER WE MAY BE UNABLE TO PROGRESS THIS MATTER OR PROVIDE YOU WITH ANY FEEDBACK.

            Please note:

            ONCE SUBMITTED A SAFEGUARDING PROGRAM OFFICE REPRESENTATIVE WILL CONTACT YOU.

            Thank you

            This field is for validation purposes and should be left unchanged.

            We respectfully acknowledge Aboriginal people as the Traditional Custodians of the lands throughout Western Australia. We acknowledge their connection to the lands, waterways and communities and pay our respects to Elders past, present and emerging.
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