LHS See Something - Say Something
Fill in the See Something-Say Something to the best of your ability. When you click on submit, your form will be automatically sent to your school administrators and guidance counselors. This form is confidential.
When did the incident happen? (date) *
MM
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DD
/
YYYY
When did the incident happen? (time) *
Time
:
Where did the incident occur? *
Your answer
Name(s) of the individual(s) that were harmed. *
Your answer
Who were the individuals who caused the harm? If you do not know their names, fill in "I did not recognize them." *
Your answer
List any potential bystanders or witnesses. *
Your answer
Behaviors observed. *
Please check all that apply.
Required
Describe in detail what happened. Give as much information as you can. *
Your answer
Who are you? (Including your name will help the principal or counselor keep students safe).
OPTIONAL
Your answer
Submit
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