Your connection to Verso Vineyard Church
Adult or Child’s Full Name
Tell us who you have a concern about
Adult or Child's Address
If known, please tell us the address of the person you have a concern about.
Site / Ministry Area / Group
What area does this relate to?
If not listed above:
If not listed above, please identify here.
Where (location) did it take place?
Tell us about your concern, the disclosure or the incident you are reporting, and why you think it needs action.
Please provide as much information as you can including names, times and dates.
Action taken so far
Has any action been taken by a third party? Please identify who else has been informed of this.
