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Prevent referral form

Prevent referral form

This form is designed to help articulate a concern under Prevent – where you are worried a person is susceptible to radicalisation.

Prevent referral form 281.62 KB PDF

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Feedback submitted to us on this form is monitored but you won't receive a reply. In an emergency, visit our emergency contact details page visit our emergency contact details page. Please don't include any personal or financial information, for example your National Insurance or credit card numbers.

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