Gallatin High School Incident Report
Name of person completing the report: ________________________________ Date: _________
Type of incident (i.e. fight, theft, harassment, etc.) _____________________________________
Date of incident: _______________ Location of incident: _______________________________
Report of incident: ______________________________________________________________
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The facts in this statement are true to the best of my ability:
Signature: ____________________________________________ Date: ___________________
Statement Received by: __________________________________________________________