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I have parental responsibility

You have selected welfare concerns about a child that is not at risk of immediate harm.

Please complete the online enquiry form below.

Please note: When completing the form, select the 'Previous Page' button to go back a page and not the 'Back' button at the top of your browser.

If you cannot fill in any of the mandatory fields please contact the Staffordshire Childrens Advice and Support Service for advice on 0300 111 8007


Please note: If you wish to remain anonymous to the family that you are calling about but would not mind us contacting you for further information then please complete your details on the form.

We would never reveal your identity to the family but the information you provide to us and that we will discuss with the family may identify you.

If you want to remain totally anonymous then you do not have to complete your details.

We are not able to provide any outcome or feedback about enquiries to members of the public who are anonymous or have no parental responsibility for the child they have concerns about.

Please provide as much information as you can.

What's next?

Once completed, this form will be sent to the Staffordshire Childrens Advice and Support Service who may contact you for further information.

  • Anonymity
  • Would you like to remain anonymous for the referral?

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