Appendices, forms and templates

Section 3: Appendices, Forms and Templates

Here you should be able to find all the forms and back-up documents you need for safeguarding work in the parish. Download, forward, or photocopy anything you need.

Download the full Safeguarding Policy & Procedures (pdf, 693 KB) here or the complete set of forms and templates here.

If you would like to suggest or share something that you think would be useful for this section, contact the Diocesan Safeguarding Officer, Sarah King, 01353 652735 or

List of items to download:

Specimen Safeguarding Statement for Children and Vulnerable Adults
Safeguarding co-ordinator Registration Form
Checklist for Leaders of Regular Groups/Activities for Children and/or Vulnerable Adults
Pictures, Computer Images and Social Networking Permission Form
Volunteer Agreement form
Overseas/overnight/residential trips: Supplementary Permission Form
Volunteer Drivers: Checklist and Permission Form
General parental permission form
Parish guidance for making and keeping safeguarding records
Logging a concern about a Child or Vulnerable adult
Safer Recruiting in the parish
Guidance for activities seen to be eligible for a criminal record check
Model Volunteer Job Role
Blank specimen application form (please use and modify to suit the position you are wishing to fill)
Confidential Declaration form
List of Documents for DBS checks
Letter to be sent to a Referee
Reference form to be sent to a Referee
Handling and storage of DBS certificate information
Policy statement on the recruitment of ex-offenders
Working Together: the Local Safeguarding Board 


Whistle Blowing and Complaints

Download complete set of items:

Useful Links