Details about the worker you are making a complaint about

If you cannot remember the worker's name but have told us where and when the abuse took place we can try to trace the worker. The more detail you can give us the better we can consider your concerns

Other organisations you have told about the abuse

It is important that we know if you have raised your concerns with or made a complaint to any other organisations like the worker's employer, Police, social work department, Care Inspectorate, Nursing and Midwifery Council and Health Care and Professions Council. This is so we can check what stage they have reached.

Additional information and declaration

We will Contact you, or the person completing this form on your behalf, once you submit this form to ask further information

Please tick to confirm

To the best of my knowledge, the information I have provided is accruate

I understand that to investigate this matter the SSSC will need to share details with the social service worker(s) concerened and their employer(s)

I understand that when I submit this form a copy of my complaint will be sent to the email address I have provided

Data Protection

The SSSC is registered with the Information Commissioner and information supplied by you on this form will be processed in accordance with the provisions of the data protection legislation. The Data Controller is the SSSC. Personal data supplied by you will be processed for the purposes of undertaking our statutory duties in respect of registered social service workers.

The data may be disclosed to any social service worker named, or otherwise identified, their employer(s), any person named, or otherwise identified, SSSC Fitness to Practice Panels, the health and Care Professions Council, the Care Council for Wales, the Northern Ireland Social Care Council and teh Care Inspectorate, othe regulatory bodies and similar organisations in the UK and other Countries

By submitting this form you aresigning that you consent to the process of the personal data including special category and criminal offence data in the ways described above.