PMHS Anonymous Reporting Form

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This form is designed for students (or anyone in the community) to report incidents anonymously. Please provide as much detail as possible to help us address the situation safely and effectively. Please also understand that making a report anonymously does not guarantee any action is taken by school administration and such a report should be understood to be for informational purposes only. The best way to ensure a follow up is to identify yourself as the reporter which you can do at the end of this form.

What is the nature of this report? *

Safety or Security Concern

Mental Health Concern

Harassment or Discrimination

Vandalism or Property Damage

Academic Honesty/Integrity Issue

Other

Required

When did this occur?

YYYY

Approximately what time did this occur?

Time

Where did the incident take place?

Please describe the incident in detail. *

Would you like to identify yourself? (This is the best way to ensure your report gets followed up on and that action is taken). *

Yes

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