Report a School Safety Concern
This form may be used to confidentially report school safety concerns. Information will only be shared to the extent necessary to address student and staff safety.

When making your report, please include as much detailed information as possible to assist school administrators in investigating and addressing the concerns.

This is not a two-way method of communication. Reports are only monitored during school hours. 

For immediate emergency situations, call 911.

For the Suicide and Crisis Lifeline, call 988.


Sign in to Google to save your progress. Learn more
School *
Topic *
Concern *
Provide as much detail as possible, including names, dates, and locations.
Your first and last name: *
You may be contacted for more information, if necessary.
Your email address: *
Your phone number: *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Patrick County Public Schools.

Does this form look suspicious? Report