If you are concerned about the immediate safety of a child or adult, please contact the Police on 101 at any time. In an emergency call 999.

Report concerns about a child:
If you are worried that a child may be suffering or at risk or significant harm you can:
•	Call the Multi-Agency Safeguarding Hub (MASH) on 0345 050 7666 during office hours (8.30am to 5pm, Monday to Thursday, 8.30am to 4pm, Friday)
•	Call the out of hours Emergency Duty Team on 0800 833 408 
•	Call ChildLine: 0800 1111. 
•	Call NSPCC 24 hour helpline: 0808 800 5000 

Report concerns about an adult:
If you suspect an adult is being neglected, harmed or suffering domestic abuse you can:
•	call the Safeguarding Adults Service Consultation Line on 01865 328232 (Monday to Friday only)

If you would like to talk to someone regarding the incident concerned, please either speak with the current Safeguarding officer or chairperson in band or the email secretary@witneytownband.org.uk and ask for someone to call you back about our safeguarding policy. You do not need to give any details about any incident or your concerns just basic contact information. 

Once the form is completed, please email it to: secretary@witneytownband.org.uk. 
Please ensure that the Subject of the email includes the words CONFIDENTIAL SAFEGAURDING. 
Name of child or vulnerable person:		
Age/date of birth:		
Parent/carer's name:		
Address:		
Telephone number/ email address:		
Are you reporting your own concerns or passing on those of someone else? Give details of witness:		
Brief description of what has prompted concerns: include date, time, and location of any specific incidents:		
Any physical signs? Behavioural signs? Indirect signs?		
Have you spoken to the vulnerable person? If so, what was said (and when)?		
Have you spoken to the parent(s)? If so, what was said (and when)?		
Has anyone been alleged to be the abuser? If so, give details, including relationship to the child:		
Have you consulted anyone? Give detail:		
Any other information that you believe to be pertinent: 		
Your name:		
Signature:		
Date: