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etc. (not theft) of
controlled drugs?
If Fraudulent Use- N
Item Used:
DV/Hate Crime

Is this a Hate N
Crime/Domestic
Incident/Carer
Abuse?

Domestic Incident?

Hate Crime?

Forced Marriage?

Honour Based
Violence?

Carer Abuse?

Initial Risk
Assessment
(SPECSS+):

Completed by:

Initial Risk
Assessment
Management
Supervised?

Completed by:

Current Risk
Assessment
(SPECSS+):

Completed by:

Form 124D
Completed?

Completed by:

Forml24D
Supervised?

Completed by:
CSU Reference

Received by the CSU?

Completed by:

LGBT Relationship?

Category of Hate
Crime Race?

Faith/Religion/Belief?
Homophobia?

Transphobia?

Disability?

Religion Name:
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