Adult abuse form for members of the public
Use this form to:
- report that you or someone you know is at risk of, or is experiencing abuse or neglect
To apply you need to give us:
- your name
- a way to contact you
- details of your concern
- the name, address and date of birth of the person concerned
If you need help filling in this form, you can:
- phone 01273 29 55 55
- email email@example.com
We’ll look into your report during our office hours, which are Monday to Friday from 9am to 5pm (except public holidays).
We process, analyse and use your data in a range of ways to better understand what our customers need and to improve the way in which the council delivers your services.
Find more information about how we use your data in our privacy and data notice.Start