Incident Information Form
A safe disclosure process
This form may ask for information that is difficult for you to share. If at any time you feel that things are getting a bit hard for you it’s okay for you to stop completing the form and contact Adsafe on the numbers below to talk through the information you would like to share, you may find that this turns out to be an easier option for you.
AUS: 1800 220 468 or NZ: 0800 442 458
If you believe a child is in immediate danger or at risk of serious harm contact the police and/or the local child protection agency immediately.
Adsafe respects your right to complete this form anonymously. However, so that we can best ensure the protection of children and vulnerable people in our church and its entities, we encourage you to provide us with some basic details such as your first name and best contact method just in case we need to contact you to clarify anything.
This Incident Information form may ask for information you do not have, that's okay. For these questions, please leave blank or write "not known". However, the more information you can share with Adsafe the better our ability to ensure the best outcome for all involved.