Report Abuse

Share your concerns with us!

Contact CWDD using our Online Report Form below.

If you have concerns about a child’s safety and well-being, including a child in your family, you can use this form to inform CWDD. One of our advisors will decide what action needs to be taken according to the information provided in the form below.


What we need from you

Please say as much as you can about the situation – it will help us take the right action. Tell us the facts that you know, as well as any concerns you have about that child.


Can I remain anonymous?

You can contact the Helpline anonymously if you do not want to tell us who you are. However, it’s really helpful to have your name and contact details, as we may need to contact you for more information in order to protect the child or children that you are concerned about.

It may also help to protect a child if you give permission for us to share those details with the Police or a social worker, or sometimes another agency where necessary, so that they can seek further information from you if they need to.

If you are willing to provide your details, but do not want us to share them with other agencies, please select the ‘no’ option on the form below.



PERSONAL DETAILS

Your Name (or Nickname)

Email Address

Contact Number

Home Address

Date of Birth

Age

Gender

Ethnicity


What's your relationship to the child / family / situation that you are concerned about?

If you've selected Other, or require additional info, please explain here?

Are you happy for us to share your contact details with the Police, Children's Services, or any other appropriate agency?
YesNo


ABOUT THE CHILDREN

Please give details of the child(ren) you are concerned about here. If you are concerned about more than one child, please fill in a box for each child.

CHILD #1

Full Name

Age

Gender

Ethnicity

CHILD #2

Full Name

Age

Gender

Ethnicity

CHILD #3

Full Name

Age

Gender

Ethnicity

CHILD #4

Full Name

Age

Gender

Ethnicity


Where are the children living?
Without a full address it can be really difficult for agencies to identify the child(ren) and take action to protect them. If you don't know the full address, provide as much identifying information about their location as you can.


Who else lives at this address?
(parent or carers, brothers, sisters, grandparents or others)?

PERSON #1

Full Name

Age

Gender

Ethnicity

Relationship to Child

PERSON #2

Full Name

Age

Gender

Ethnicity

Relationship to Child

PERSON #3

Full Name

Age

Gender

Ethnicity

Relationship to Child

PERSON #4

Full Name

Age

Gender

Ethnicity

Relationship to Child


Please add details of anyone else who has contact with the child(ren).
Any identifying details of family/friends who see the children is important, please include anything you know about them. How often do they see the children? What is their relationship to the children?

Please add details of the child(ren)’s nursery, school, GP, health visitor or any other professional in contact with the child(ren).
This is particularly important if you have not been able to provide their full address, any details that help to identify the child/family are vital for us to take any action.


Why do you think the child(ren) are in need or at risk?
Provide as much information as possible - tell us what kind of abuse you’re worried about. What have you seen or heard? Where and when does the abuse happen? How does it affect the children? When was the last incident of concern? Provides dates and locations of incidents if you can.

How long is it since you first had these concerns?

Have you reported your concerns before?
YesNo

If YES, please tick who you reported it to.
Child Welfare Durban & DistrictPoliceOther

Please give details including dates and reference numbers if known.

When did you last see the child(ren)?

Do you think the child(ren) are at immediate risk of harm?
YesNo

If YES, provide further details about the risk below.
You should also contact the Police and ask them to check that the children are safe. If you think the children are at immediate risk, tell us what you think the risk is.

Are you aware of any substance misuse, domestic violence or adult mental health difficulties that affect the family?
YesNo

If yes, please provide as many details as possible.
Details might include: what drugs are used? how often? are there incidents of violence? Do the children witness this?

Please tell us anything else you know about the family that may be relevant to the child(ren)'s safety and welfare?
This can be anything you think is relevant. It might be about other professionals who are involved with the family, any additional needs that any children or family members have, or about other concerns you haven’t mentioned above.

Have you tried to contact the Abuse Helpline by telephone today and been unable to speak with a practitioner?
YesNo

What is your preferred method of reporting concerns and being contacted?
TelephoneSMSEmailNone


THANK YOU!

We just need to make sure you have a heartbeat ...

I hereby confirm that all information submitted is correct and true.

Your Unique Reference No: