Safeguarding Incident Reporting
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Safeguarding Incident Reporting

Safeguarding Incident Reporting Form

In emergencies, please call the police at 911 and Safeguarding Focal Person on 0721315885. You should also email safeguarding@hodiafrica.org or fill out this form after calling about the emergency. Please complete this form and submit. You will be contacted as part of the investigation. Doc Number: HODI-P-007-FM1

"*" indicates required fields

Your Name

First Last

Your Email

PRIVATE & CONFIDENTIAL INFORMATION

Share only on a need to know basis.

Nature of Report

Suspected Abuse

Incident with a Child

Witness to an incident

Contacts: Which is the best way to reach you for more details on the incident?

How is the affected person known to you?*

Affected person’s Name and Address (if available)

Incident Description

Please provide as much detail as possible.

Submission

Phone

This field is for validation purposes and should be left unchanged.

Safeguarding Incident Reporting
Home
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Safeguarding Incident Reporting

Safeguarding Incident Reporting Form

PRIVATE & CONFIDENTIAL INFORMATION

Submission

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