Suspected CSE Perpetrator / Location of Concern Form / To be completed and emailed to:
d

This form is for use by professionals to alert the Police and the local Missing and Child Sexual Exploitation forum of concerns relating to potential perpetrators of Child Sexual Exploitation and / or locations where the sexual exploitation of children may be taking place. The Police monitor their email box 7 days a week. The relevant MACSE will review the information at the next meeting.
PLEASE COMPLETE 1A and / or 1B AND ALL OTHER SECTIONS
If you believe a crime is taking place or a life is in danger call 999
1A / Information about a suspected Perpetrator
Name (include any known Alias):
Approximate Age or Date of Birth:
Address:
Nature of Concern: /
  • See below for a guide for concerns

Housing status /
  • This may be useful for intervention options

Are they a drug user? /
  • This may be useful for intervention options

Any significant mental health history?
School / College / Uni.
Online activity /
  • Do you know anything about the persons online profile / friends / social media use?

Associates of suspect:
1B / Information about a Location of Concern
Name of venue:
Type of Location:
Address:
Nature of Concern: /
  • Who is believed to visit this location, children and adults
  • What is suspected of happening at the location, Sexual activity, drug/ alcohol taking, criminal damage, other ASB
  • Is there a particular time or day that it is believed people are visiting / frequenting this location and how often
  • Is it known how people are getting to this location eg Taxi, train, bus, walking, lifts by adults of concern

Owner / residents of location:
Associated venues:
2 / Associated Children
Please provide names, age / DOB / address where possible.
Source of Information
How do you know this information
Did you see it or hear it first hand?
If some told you how do they know it?
How old is the information?
3 / Your details
Name:
Telephone Number:
Email Address:
Organisation / Role :
Date of Referral:
Which MACSE is this for?
Guide for Suspected perpetrator concerns: You have information indicating a person…
Has requested children engage in webcam use or taking and sharing images of themselves
Is sharing explicit images of children that they have had or are having a relationship with
Gifts children with money, food, tobacco, phones, bus/taxi fares (not drugs or alcohol)
Supplies alcohol to children
Supplies drugs including New Psychoactive Substances
Has child associates that repeatedly go missing / absent, have added vulnerabilities (e.g. physical, mental, learning disabilities) or are known to be at risk of CSE.
Encourages children to have sex with them and or others for money, gift, or other reward
Encourages children to carry out crimes (drug running, shop lifting, selling stolen goods)
Organises or pays for a child’s travel in or between towns
Uses violence, coercion, intimidation, harassment towardschildren
Associating with persons suspected or known to sexually exploit children
Is intrusted Professional/Voluntary work or situation with child contact
Is an adult known or suspected to have had sexual relationship with under 16yr old(s)
Encourages children to stay at their home or elsewhere during the day or overnight
Has continued contact with children after a disruption visit from police, social care etc
Has had CSE concerns raised about them past in the 6 months