Report Incidence – Caringhearts.ng

At Caring Hearts Rescue Initiative, we are committed to advocating for the vulnerable and ensuring that cases of abuse, neglect, exploitation, and other forms of social injustice receive the necessary attention. If you have witnessed or experienced an incident that requires intervention, please use this form to provide detailed information.

Your report will help us take the necessary steps toward providing support, seeking justice, and ensuring the safety of those affected. All information shared will be treated with the utmost confidentiality, and you may choose to remain anonymous.

Please provide as many details as possible to help us understand and respond effectively. If the situation is an emergency, we encourage you to contact the appropriate authorities immediately.

Incident Reporting Form

Personal Information

First Name

Last Name

Phone

Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Incident Details

Type of Incident

Others (Please Specify)

Date of Incident

Location of Incident

Description of Incident

Are there any witnesses?

Yes

If Yes, Provide Witness Details (Name, Contact Info)

Victim Information (If Reporting on Behalf of Someone Else)

Victim’s Name (If known)

Victim’s Age (Approximate if unknown)

Victim’s Gender

Male

Female

Prefer not to say

Victim’s Contact Information (Optional)

Evidence & Documentation

Upload Photos/Videos/Documents (If Any)

Choose File

Additional Information

Is the incident still ongoing?

Have you reported this incident elsewhere?

(If Yes, specify where)

Any additional comments or information?

Consent & Submission

Would you like to remain anonymous?

“I confirm that the information provided is accurate to the best of my knowledge.”