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Anonymous Incident Report Form
Use this form to report incidences as they happen. While reporting incidences to an adult at the time it occurs would be preferred, reporting in any form is better than no report at all.
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* Indicates required question
In which school did the incident occur?
*
Marsing Elementary School
Marsing Middle School
Marsing High School
Other:
What was the incident?
Bullying
Inappropriate words/language
Inappropriate actions/behaviors
Inappropriate physical actions (touching, hitting, kicking, etc.)
Harrassment
Threats
Disrepect
Other:
Who was the person who did the offense?
If there were more people involved, please include their names as well.
Your answer
When did the incident occur?
The date could be approximate.
MM
/
DD
/
YYYY
Time
:
AM
PM
Write a short explanation of what happened.
Your answer
Who were witnesses, or people, who were present and observed the incident?
Your answer
Your name.
This is NOT required to complete this report form
Your answer
Submit
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