LED - Incident Reporting

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If this is an emergency, please call 911 before completing this form.

This form is used to report an incident that involves or impacts the students of AMDSB learning environments, including field trips and excursions, cooperative education sites, Board-sponsored sporting events, and those on the remote learning platform. Because this form is anonymous, please provide as much information as possible. It is your choice to share your identity.

For more information, visit the Board's Website.

Date of Incident *

When did this happen?

YYYY

Time of Incident *

Time

What are you reporting? *

Please check all that apply.

Bullying Incident

Racist or Hate-Based/Biased Incident

Suspicion or Signs of Sex Trafficking Incident

Required

Did the incident include comments regarding any of the following? (Please check all that apply) *

Academic Performance (Ability/(dis)Ability)

Gender or Gender Expression

Physical Appearance

Race/Ethnicity

Religious or Cultural Beliefs

None of the above

Required

Did the incident happen at school? *

Yes

Specify the location the incident occurred. *

Room # or nearest room # (if known)

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