Reynolds Anonymous Report for Parents and Students
Complete this form with as much information as possible.
You are Reporting:
Indicate your reason for making a report.
Harm to Self
Harm to Others
What is your involvement?
Friend with knowledge of the situation
Who was involved?
Provide first and last names of all people involved.
Date and Time
When did the situation occur?
Please name any witnesses.
This information is necessary for the incident to be investigated.
Where did the incident happen?
Describe the incident in detail.
Optional: List list any other details you would like the administrative staff to be aware of about the situation.
Optional: Name of person making the report.
If you are willing to speak with someone about this incident, please include your first and last name here. Your name will be kept confidential.
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