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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