Morecambe Community High School e-Safety Incident Report Form
Please note that reports will be followed up during TERM TIME ONLY, if you deem it to be an emergency, we advise you to contact the Police.

Please outline below the details of the e-safety incident / issue that you wish to report. It is important that you provide as much detail as possible to enable us to investigate the issue or concern thoroughly.

Once completed and submitted this form will be sent to the schools eSafety Coordinator

Please be assured that this incident will be followed up as quickly as possible and dealt with in a confidential manner.

Name of person reporting incident
Your answer
Form (for student)
Your answer
Where did the incident occur?
Type of Incident
Date of Incident
MM
/
DD
/
YYYY
Time
:
Who was involved in the incident?
Your answer
Full Description of the incident
Your answer
How can we make contact if further information/action is required?
You could insert your phone number or email address for example
Your answer
Submit
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