The Child Sex Offender Disclosure Scheme Online Initial Contact Form

If you consider that a child is at immediate risk then you should call 999 to report your concerns.

In all other circumstances (non-emergencies) you can report your concerns by :

Telephone 101.
On-line - Complete our Child Sex Offender Dislosure Scheme Online Initial Contact Form below or
In person at a Dorset police station.

Please note - Those fields marked with a * are mandatory and must be completed before the form can be submitted.

Your name *

Your date of birth *

Your address *

Your telephone number *

Your email address

What time is best for us to contact you?

Details of the individual you are making enquiries about

Name *

Date of birth or approximate age

Address

Details of any specific concerns or suspicions that you have regarding the individual *

Does the individual have unsupervised contact with a child(ren)?

Yes
No

Name (Child 1) *

Gender of child

Female
Male

Date of birth or approximate age

Address

Name (Child 2)

Gender of child

Female
Male

Date of birth or approximate age

Address

Name (Child 3)

Gender of child

Female
Male

Date of birth or approximate age

Address

Name (child 4)

Gender of child

Female
Male

Date of birth or approximate age

Address

I (The enquirer) confirm that this form is not being used to report something that needs urgent police attention. *

If this form is being completed by a member of Dorset Police on behalf of an enquirer, please provide your Collar No.

Did you ring 101 before you completed this form *

Yes
No

To find out what we do with the information we collect from this form please visit GDPR form responses.