Children's LADO referral form - new version

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If the child is at immediate risk of harm, do not use this form and instead contact the emergency services on 999 or SPoA.

Use this form to submit an allegation to the Children’s LADO about an adult who works with children.

If you have already completed a Statement of Referral (SOR) then you do not need to fill out this form as well. SPoA will pass on the details to us.

We aim to respond within one working day.

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

* means information is required

About you (the person making the referral)

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

If you are a professional, use your work email address

full address including postcode

About the adult involved

Please provide as much information about the adult as you can

e.g. 10 July 1980

full address including postcode

Please provide any relevant information relating to employment history. Including start date, work outside of the local authority and any previous complaints or allegations.

About the child

Please do not use initials for name and state if name unknown

e.g. 10 July 1980

full address including postcode

Please provide the name, contact details and placing local authority of the social worker.

About the allegation

Choose as many that apply

Only enter a brief summary here and not the full history at this stage of the referral