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Member Protection (Youth)
Instructions

Use this form to report any Child Protection Incidents to Scouts NSW. If this incident only involves Adults, please submit this complaint/incident via the Member Protection (Adult)

* Your email address is requested so that you can save this form as a draft to return to later and when you submit the form, a copy of the report will be emailed to you.*

Incident Details

Does this matter relate to?

If this matter concerns adults only, the Member Protection (Adult) form should be used. 

Put the time in 24 hour clock format

Location of Incident

Where did the incident happen or name the event under other.

Region of Incident

The region where the incident occurred (if known)

Member Details

If more than one youth member or adult is involved, please complete their details and then click on the  to add all members information. 

Add a new row Name of Youth Member/Adult *

First Name Surname

Age of Youth Member/Adult *

Use whole numbers eg. 13,55,69

Youth/Adult - Member of Scouts *

Is the child/youth member a member of Scouts NSW?

Your Group (if applicable) *

Start typing your group’s name to select (for example if you are in 1st Albury, start typing “Albury”)

Youth/Adult Member Region * Youth/Adult Member Appointment Role in incident Delete Row
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add add add add add add add              
Photos/Evidence
Photos/Evidence
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Type Title File Name Uploaded Uploaded by File Size Actions
Have you spoken about your concern with a Youth Safe Advocate (YSA)?

Click here for more information about Youth Safe Advocates.

Any other information or suggestion you would like to provide

About the Reporter

Only Complete this sections if you are not a participant or complainant in this incident.

Contact Preference
Select your relationship to Scouts NSW
Your role in Scouting

If you hold multiple appointments, select the appointment that applies in the context of the incident you are reporting.

Your Region

Start typing the name of your Scout Group/Rover Unit without 1st, 2nd etc. For example, start typing "Albury" if you wish to select Albury Scout Group and click on 1st Albury when it appears.

Non-Member Reporter

Police Report

Police Attachments
Police Attachments
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Panel Details

Other Panel Attachments
Other Panel Attachments
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Type Title File Name Uploaded Uploaded by File Size Actions

Appeal

Appeal Attachments
Appeal Attachments
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Type Title File Name Uploaded Uploaded by File Size Actions

Termination (only to be completed where termination has occurred)

Termination Letter
Termination Letter
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Save and Return
 

Your Email Address

Please provide your email address and we will send you a link that will allow you to return to this form later.

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