Asia Pacific Forum of National Human Rights Institutions

Child Incident Notification Form

This Notification Form is also available on the APF’s website.

PART A – Notifier to complete Person making the report (can be anonymous): Date:
Who is the incident about?
Who was the victim or the breach of conduct? (name and contact details desirable but not essential)
When did the breach of conduct occur?
What is the breach of conduct? (sexual exploitation, child abuse, and/or policy non-compliance?)
Who else was involved in this breach of conduct?
How did you come by this information about breach of conduct?
Any other details you would like to add?
PART B – APF to complete Date received by APF Safeguarding Officer:
When did breach of conduct occur?
Report origin (member NHRI, CSO, partner?)
Name of programme/location of programme?
Who is the report about?
Who was the victim of the breach of conduct (name and contact details desirable but not essential)
What was the breach of conduct?
Was this incident investigated?
If no, why not?
Is there evidence or suspicion of a breach of conduct?
If no, what is the next step you will take?
If yes, what disciplinary action or further investigation will take place?
What is the final outcome of this incident?
Report submitted to APF Chairperson?
Date of completion