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an allegation or safeguarding concern to the Children’s LADO about an adult who works with children.
a request for a check/information on a setting or adult.

Before submitting this form, see: What type of referral are you making? | East Sussex County Council.

We aim to respond within one working day for a referral, and five working days for a request for information.

To find out how we use your data for Children’s Services, please read our privacy notice.

There is a problem

please select

Please select

Submit an allegation or safeguarding concern

Request a check/information

About you (person completing the form)

Introduction1

If you do not provide your details we will be unable to respond and process this referral

Your full name (referrer) *

Your phone number *

Enter as a number with no spaces

Your email address *

If you are a professional, use your work email address

Name of your workplace

Workplace address

Building and street line 1 of 2

Building and street line 2 of 2

Town or city

County

Postcode

Your role

What is your relationship to the adult the allegation is about?

Have you already sought HR advice?

Yes

What advice has HR given you?

About the adult involved

Introduction2

Please provide as much information about the adult as you can

Full name of adult involved *

Date of birth of adult involved *

You may need to contact others for this information, eg HR or employment agency

Day

Month

Year

Home address of adult involved *

Building and street line 1 of 2

Building and street line 2 of 2

Town or city

County

Postcode

Gender of adult involved

Female

Male

Other (please specify)

Specify gender

Ethnicity of adult involved

Job role of adult involved

Name of employer/workplace

Workplace address and phone number

Is the involved adult an agency worker employed by an external agency?

Yes

Employment agency

Please give full details of the external employment agency

Have you made the agency aware of the allegation?

Yes

Secondary role(s) working for other organisations, in another position of trust role

Previous roles

Is there any relevant history about the adult involved?

Please provide any relevant information linked to this adult, regarding any previous complaints, allegations or low-level conduct concerns that have been dealt with internally.

Does the adult have any disabilities?

(this includes neurodivergent presentation)

Is there a risk assessment in place to reduce the impact of identified additional needs?

Yes

Are there any other adult(s) involved in this allegation (excluding witnesses)?

Yes

Names of other adult(s) involved

Please confirm you have completed/will complete a separate LADO referral form for each individual with an allegation against them.