Report a Safeguarding Concern

Report a Safeguarding Concern
This form is used to safely report your concern about a vulnerable adult or young person who is experiencing or at risk of experiencing abuse or neglect while attending a Street Soccer Session.

If you need immediate help, please dial 999.

You may also be able to receive relevant support or advice from one of the below helplines.
- Childline 0800 11 11
- Samaritans 116 123
- Campaign Against Living Miserably (CALM) 0800 58 58 58
- National Domestic Abuse Helpline 0808 2000 247
- Scottish Domestic Abuse or Forced Marriage Helpline 0800 027 123
You can also view our Safeguarding Policy by clicking here

Who is at Risk?

All fields are optional, please give as much detail as you can as we may not be able to investigate a concern if we don’t have enough information.
First Name
Last Name
Address
City
Postcode
Description of the person at risk
(height, build, hair colour/style etc...)
Which of the following best describes the person at risk?
Approx. Age
Gender

What happened?
When did this happen?

DayMonthYear
Date
Where did this happen?
What happened?
Please outline your concern(s) as clearly as you can
Your professional opinion on the matter, anything said by others or witnesses
Have any actions already been taken?
Did this happen at a Street Soccer Session/

YesNo
Which Session?
Location, Date & Time
Has this been reported to the Police?

YesNo
Police Reference Number

Who caused the harm?
First Name
Last Name
Description of the person
(height, build, hair colour/style etc...)
Relationship to the person at risk
Please provide more detail

Attachments
Would you like to upload any evidence or attachments relating to this concern?
Upload here

If this file upload is not working, please email them to cameron@streetsoccerscotland.org
Cancelof

About You
We may need to ask you further questions in order to investigate this report. It would help us if you could provide your contact details, although you can remain anonymous.

If you prefer to speak to someone please call on 0800 334 5119.
Can we contact you if we need more information?*

YesNo
First Name
Last Name
Your role or relationship to Street Soccer
Contact Number
Email Address
Should be Empty: