OFFICIAL – SENSITIVE [Personal] (When Completed)
Request to reopen a CAF Form
Guidance
HANDWRITTEN VERSION
We would encourage all professionals to contact their local Early Help Team before completing this
form. If you are unsure of the contact details, please call CAF Admin on 01473 263210.
Requests to re-open will only be considered if the previous CAF was closed within the last 6
months.
For guidance on requesting to re-open a CAF please visit: https://www.suffolk.gov.uk/CAF
This is not a safeguarding referral, if you are concerned that a child or young person has been harmed or
abused or is at risk of being harmed or abused, you must follow the Suffolk Safeguarding Children Board
procedures. If you have any concerns about a child, please phone 0808 800 4005. The referral process
and the multi-agency referral form can be found along with further guidance on the Safeguarding Board
website: www.suffolkscb.org.uk
Name of person requesting
CAF be reopened.
Date of Request:
Details of Children / Young People
This section is for all children and young people from this family who you are requesting the CAF to be reopened for.
Full Name
DoB
Gender
Address
School / Pre-school
Returning a completed Request to Reopen a CAF
The completed form should be sent in one of the following three ways. Please make sure to include the handwritten signed consent sheet and the mapping (clear, scanned copies if using email).
1. Our preferred method: via email, using Egress encryption to ([email protected]).
a. If you don’t have Egress encryption as an option for your normal emails, you can send secure emails
from the Egress website instead (https://www.suffolk.gov.uk/about/secure-email/)
2. If you have a Government Secure Intranet (GSI) email domain you can email our secure email:
[email protected]. GSI domains include:
gsx.gov.uk
gcsx.gov.uk
nhs.net
scn.gov.uk
cjsm.net
gsi.gov.uk
pnn.police.uk gse.gov.uk
defence.gsi.gov.uk
3. If you cannot use one of the two email methods above, please send it by post to: CAF Administration,
Suffolk County Council, 3rd Floor, Landmark House, 4 Egerton Road, Ipswich IP1 5PF
a. Important - The request to reopen a CAF form should be double-enveloped and the inner envelope
must state "addressee only". Please send by Royal Mail Recorded 'Signed For' delivery
For more information, please contact CAF Admin directly on: 01473 263210
Suffolk CAF Form
Version 3.7 25/08/2016 – Review date 31/01/2017
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Request to reopen a CAF Form
OFFICIAL – SENSITIVE [Personal] (When Completed)
Who’s present during the assessment? Remember the mapping needs to be informed by and include the child(ren)’s view.
What are we Worried About
What’s Working Well
(What has changed since closure, that has prompted
you to request the CAF be reopened)
Concerns/Harms.
Existing Strengths (relating to the concerns/harm).
Risks/Danger Statement.
Existing Safety (relating to the concerns/harm).
What Needs to Happen
Future Safety Goals & Wellbeing Goals (Outcomes).
These must relate to the concerns/harms and
risks/danger statement
Complicating Factors.
Suffolk Request to Reopen CAF Form
Version 3.7 25/08/2016 – Review date 31/01/2017
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Request to reopen a CAF Form OFFICIAL – SENSITIVE [Personal] (When Completed)
Signature of person undertaking Assessment & requesting the CAF be reopened
Print
Name
Signed
Organisation
Date
Role
Email
Contact No.
AGREEMENT TO SHARE AND STORE YOUR INFORMATION
We need to collect the information in this CAF form so that we can understand what help you may need. If we cannot
cover all of your needs we may need to share some of this information with other organisations so that they can help
us to provide the services you need.
I understand that information is stored and shared about me/my child/children. I have had the opportunity to discuss
what this means and consider the content of the ‘Information we hold about you leaflet’:
www.thesource.me.uk/assets/Uploads/Information-we-keep-about-you/14310-CYP-InformationAboutYou-Leaflet.pdf
☐
I agree that personal information about me may be stored/shared with other agencies and professionals
Please indicate any exceptions
☐
I agree that personal information about my child(ren) may be stored/shared with other agencies and
professionals
Please list any children not
signing below
Please indicate any
exceptions
☐
I agree that you can contact other agencies and professionals who are or have been involved with me/us and
my/our child/children and seek relevant information from them to decide what help my children and I need.
Please indicate any exceptions
Parent/Carer Signature(s)
Signed
Name
Date
Signed
Name
Date
Signature of any other person with parental responsibility (PR)
Signed
Name
Date
Signature of child(ren)/young person(people)
Signed
Name
Date
Signed
Name
Date
Signed
Name
Date
Signed
Name
Date
Signed
Name
Date
Suffolk Request to Reopen CAF FormVersion 3.7 25/08/2016 – Review date 31/01/2017
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