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Notify adult social care of alleged abuse or a safeguarding concern

You have told us that you wish to report abuse to or a safeguarding concern about an adult.

Please complete the following questions, giving as much detail as possible.

Your submission will be looked at by a social care professional, who may need to contact you for further information.

All fields marked with an asterisk * are mandatory.

Details of the alleged victim

Are they known by any other names?
Are they known by any other names?
Do you know their date of birth? *
Do you know their date of birth?
Their date of birth *
Their date of birth
Their gender *
Their gender
 
Their address

Are there any communication issues? *
Are there any communication issues?
 

Has alleged victim agreed to further enquiries? *
Has alleged victim agreed to further enquiries?
Is the victim deemed to have capacity *
Is the victim deemed to have capacity
 

What category of vulnerable adult is the alleged victim? (Please select all that apply.)
What category of vulnerable adult is the alleged victim? (Please select all that apply.)
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