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VIOLENCE REPORTING FORM (Suspicion or Witness Statement)
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My full name and class:
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I would like to report a suspicion or provide a witness statement regarding violent behavior directed towards (full name and class):
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Brief description of the incident involving violence:
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Persons whom I believe are involved in the inappropriate behavior:
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The described incident occurred or is occurring in the following location:
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The described incident occurred or is occurring on the following date (or period):
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The following persons were also involved in the incident (and please describe how):
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