LADO Referral Form

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This form is for referring allegations against staff, carers and volunteers working with children/young people (under 18 years of age) within Doncaster Metropolitan Borough Council. This includes referrals where the victim may now be an adult but the alleged offence happened whilst the individual was a child/young person.

For further details about the referral process please visit: Referral process

Please ensure you have the following information to complete this form:

  1. Personal details of the adult subject to the allegation i.e. full name, DOB, Home address
  2. Personal details of the child(ren) i.e. full name, DOB, home address
  3. Contact details of any professional involved with the child(ren)
  4. Electronic version of any supporting documents to download (if available)

Please contact Doncaster Children's Services Trust immediately
Office hours 01302 737777, Out of hours 01302 796000 or Police phone 101 or in an emergency 999

Date of alleged incidents or examples of behaviour (if known)
Incident 1

When considering the allegation, which of the following best describes the way the person subject to the allegation may have acted?

Main category of abuse alleged.

Read through the following information and select the category you consider the allegation to fall into

Physical:

A child has been hit or excessive force has been used sometimes resulting in an injury

Emotional:

Adult shouting/swearing at children and calling them names; provoking a child to induce challenging behaviour, making negative derogatory comments towards a child, humiliating a child. This may include telling them that they are hopeless, useless and will never amount to anything over an extended period. The result of this action will have some sort of impact on the child such as becoming withdrawn, upset, and fearful, distressed or changes in their behaviour have been observed

Sexual:

Inappropriate sexual contact or touching. This would also include some form of grooming taking place including the use of social media and sending of indecent images of self or others to children.

Neglect:

Neglect is taken to mean the persistent failure to meet a child's basic physical and/or psychological needs, and which has or is likely to result in the serious impairment of the child's health or development. It may also be the failure to protect a child from physical and emotional harm or danger; ensure adequate supervision (including the use of inadequate caregivers); or failure to ensure access to appropriate medical care or treatment.

Conduct:

Inappropriate use of social media by an adult i.e. to befriend a child but without any evidence of sexual grooming. An adult in a relationship with another adult who has offences against children or is a risk to children where there are children in the household/contact with children. Poor practice or poor professional judgment with an element of safeguarding i.e. child has been harmed while in the care of the adult, not reporting safeguarding concerns appropriately. The adult’s own children are subject to child protection plans and when the adult is implicated directly or through a failure to protect.

Physical
Emotional
Sexual
Neglect
Conduct
  • You are only able to upload one document per section
  • Acceptable file types are doc, docx, xlsx, xls, txt, pdf, html, gif, svg, msg, png, tif, tiff, jpg and jpeg.
  • Please do not use special characters in file name of the document you upload
Primary role of the person subject to the allegation
Other roles of the person subject to the allegation
Primary role of the person subject to the allegation
Other roles of the person subject to the allegation
Primary role of the person subject to the allegation
Other roles of the person subject to the allegation
Primary role of the person subject to the allegation
Other roles of the person subject to the allegation
Primary role of the person subject to the allegation
Other roles of the person subject to the allegation
Please supply name of parent(s) or carer(s)
Please supply name of parent(s) or carer(s)
Please supply name of social worker or other key professional
Please supply name of social worker or other key professional
Please supply name of parent(s) or carer(s)
Please supply name of parent(s) or carer(s)
Please supply name of social worker or other key professional
Please supply name of social worker or other key professional
Please supply name of parent(s) or carer(s)
Please supply name of parent(s) or carer(s)
Please supply name of social worker or other key professional
Please supply name of social worker or other key professional
Please supply name of parent(s) or carer(s)
Please supply name of parent(s) or carer(s)
Please supply name of social worker or other key professional
Please supply name of social worker or other key professional
Please supply name of parent(s) or carer(s)
Please supply name of parent(s) or carer(s)
Please supply name of social worker or other key professional
Please supply name of social worker or other key professional

Thank you for your referral. Someone will be in contact with you within one business day.