Confirm your age

This form is for workers who support a child or family in a professional capacity, or members of the public (aged 18 or over) who need to report a concern about a child in work (paid or voluntary) or entertainment.

If you are under 18 years old and believe you or another child are at risk, contact Childline on 0800 1111.

If your concern is urgent due to a child being at risk of immediate and significant harm, call 999.

What is your concern about?*

Select all that apply.

Details of the child or children involved

Details of the child chaperone (optional)

A chaperone is an adult who looks after children taking part in performances, rehearsals, or activities.

If known, provide as many details about the chaperone as you can. For example, their name, who they work for, and what your concern is.

If you are unsure if the person is a chaperone, you can still provide details.

Details of the business, organisation or location

Tell us about the business, organisation or entertainment location that your concern relates to. Be as precise as you can with the address or location details.

If you need to report more than one business or organisation, you must submit separate reports.

Further details about this incident (optional)

The more detail you give, the easier it is for us to investigate the issue.

• what happened
• when you noticed it
• who was present
• any other information you think might be relevant that you have not told us already

What action have you taken so far? (optional)

• whether you have spoken to the child’s parent or carer
• whether you have spoken to anyone connected to the business, organisation or production
• any actions these people took in response

Have you reported this concern before?*

Which best describes you?*

Contact details

You told us you work with children or families in a professional capacity. The nature of your role means we may need to contact you if the case progresses.

If you have provided an email, you will be sent a confirmation email and reference number after submitting the form.

Please provide as many details as possible.

How we use your information

Your personal details will not be sent to the organisation, chaperone or child you have reported. However, they will be shared within our child employment team.

To meet our legal duties and in line with our privacy notice , we may share your personal details and the details in the concern with external organisations such as the police, Birmingham Children’s Trust, and other local authorities.

Contact details

We encourage you to share your personal details so we can contact you if we need to clarify details about your concern.

Your personal data will not be shared with the parties involved in the concern, including the organisation, chaperone, or child unless where required by law for the purposes of crime prevention or detection, or legal proceedings.

Reporting anonymously may limit our ability to gather information for the investigation.

You told us you work with children or families in a professional capacity. The nature of your role means we may need to contact you if the case progresses.

If you have provided an email, you will be sent a confirmation email and reference number after submitting the form.

Would you like to provide your personal details?