OLS Incident Report Form
Parent/Students can report incidents of harassment/Bullying to the schools through this form.
Email address *
Your Name *
Your answer
Best way to contact you *
Phone number and/or E-Mail address for additional questions or followup. *
Your answer
Student's Name *
Your answer
Student's Grade *
What was the student's involvement in the incident? *
When did this happen? *
MM
/
DD
/
YYYY
What time did this happen? *
Please note the approximate time, subject period or if you are unsure.
Your answer
Where did this happen? *
Please write if you are unsure or check all that apply if it happened in multiple locations.
Required
What type of incident was it? *
Check all that apply
Required
Please give a description of what happened *
Your answer
Have you or your student talked with any other adult regarding this incident? *
Required
Please complete the captcha before submitting the form.
Submit
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