Suspected Human Trafficking Child Referral
Referrer Details
Full Name
Role/Position
Organization
Contact Number
Email
Date of Referral
Child Information
Name of Child
Date of Birth or Approximate Age
Gender
Female
Male
Other
Nationality
Current Address/Location
Information About the Concern
Describe Why You Suspect Human Trafficking
Relevant Risk Indicators (e.g. signs of physical abuse, evidence of control, restricted movement)
Any Other Relevant Information
Immediate Actions Taken
Details of Actions Taken (including any immediate safeguarding steps)
Additional Information
Other Agencies Informed
Support or Intervention Required