Multi-Agency Public Protection Arrangements (MAPPA):national guidance 2016

MAPPA Document 1

MAPPA Notification Form

To:
MAPPA Coordinator:
CJA Area:
Address:

Offender Details

Name:

Alias:

DOB:

Age:

Gender - Male / Female:

Race & Ethnic Origin:

If known:

Prison Number:

PNC No:

CHS No:

ViSOR No:

Current Address:

Previous significant address / Hospital (for mentally disordered offenders)

Level 1: Routine Risk Management is the level used in cases where the risk posed by the offender can be managed by one agency without actively or significantly involving other agencies.

This is a stage 1 notification of a category 1 registered sex offender.

Registration Date:

Expiry Date:

* Please complete as appropriate

* Reason for recommending Level 1 (Please provide evidence as to why individual is to be managed at Level 1.)

* Notification accompanied by referral to level 2 (should be accompanied by the appropriate referral form).

* Notification accompanied by referral to level 3 (should be accompanied by the appropriate referral form).

* Referral to follow

Agency Making the Notification

Responsible Authority/Establishment/Agency:

Notified by (Name):

Job Title:

Contact Tel No:

Date of Notification:

Signature:

Date of completion: