Child Safeguarding Transfer Form
Use this form to record the safe handover of a child between responsible adults or organizations, including transfer details, child identification, involved adults, and any safeguarding notes.
Transfer Details
Transfer Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Transfer Time
*
Hour Minutes
AM
PM
AM/PM Option
Transfer Location
*
Child Identification
Child's full name
*
First Name
Last Name
Date of birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Current group/class/placement or identifier
*
Handing Over and Receiving Adults
Full Name of Person Handing Over
*
First Name
Middle Name
Last Name
Role / Relationship of Person Handing Over
*
Full Name of Person Receiving
*
First Name
Middle Name
Last Name
Role / Relationship of Person Receiving
*
Safeguarding Notes and Acknowledgment
Safeguarding notes or instructions
Acknowledgment of transfer and safeguarding instructions
*
I confirm the child is being transferred to the named recipient and any relevant safeguarding instructions have been communicated
Submit
Should be Empty: