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Safeguarding referral

Referring a case on, with enough for the receiver to act and nothing surplus.

Taught in Protecting People at Risk and Safe Referral

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Takaful Association

Safeguarding referral

Referring a case on, with enough for the receiver to act and nothing surplus.

Before you fill this in

A referral is the association’s decision, not one volunteer’s. Tell the safeguarding focal point first; this form is filled in with them or at their instruction. And if someone is in danger right now, do not wait for a form — act, call, and write afterwards.

Who is being referred

Name
Age or date of birth
Sex
Address or where they can be found
Guardian or accompanying adult, if any
Contact number

The nature of the concern

Tick what applies. More than one can. Something you are unsure of is still a concern worth referring.

  • Physical harm
  • Emotional or psychological harm
  • Neglect — basic needs not being met
  • Sexual harm or exploitation
  • Child labour or economic exploitation
  • Early marriage
  • Risk linked to displacement or lack of documents
  • Other — described below

What the concern rests on

Facts: what you saw or were told, and when. Not conclusions.

The facts
What was said, word for word

Risk right now

  • There is immediate danger — urgent action taken and described below
  • No immediate danger, in our assessment
What has been done so far

Awareness and consent

  • The person concerned has been told this is being referred
  • The guardian has been told
  • Neither was told, and the reason is written below

Consent from the person or their guardian is not a condition of referring when a child is at risk. But keeping a referral from them is a decision made for a reason — the guardian being the source of the risk, for instance — and that reason gets written down.

The reason, if either was not told

Where it is being referred

Filled in from the list of bodies the association has adopted, with what each is competent to receive. The wrong route delays protection and can expose details to somebody with no right to them — which is why the route is decided in advance and not in the moment.

Body
Name of the person receiving
Date and time
How it was sent
Reference given, if any

Signature and adoption

Prepared by
Name and signatureDate
Safeguarding focal point
Name and signatureDate
Wording and referral routes adopted by the association on / by
Takaful Association — registration no. 898safeguarding-referral

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