ATHS Incident Reporting Form
Incident Reporting Form
IMPORTANT: Incidents reported through this system will be reviewed by staff during school hours and is strictly for the use of Arsenal Tech students and parents.
DO NOT USE THIS SYSTEM TO REPORT EMERGENCIES THAT REQUIRE IMMEDIATE ATTENTION. Instead, call IPS Police (317-226-4633) or 911.

You can also report an incident or tip to the school's Student Services Office at 317-693-5305. This number links to a live person and is not be used for emergencies. If you need additional support, you may also call 317-693-5401.

This Incident Form should be filled out when you have a concern about something that happened to you or someone you know. Situations such as harassment, intimidation, depression, assault, or someone hurting themselves are very serious and should be addressed by someone who can help. You are not required to use your name, but please do if you would like someone to follow up with you. We will do our best to handle each situation quickly, sensitively, and confidentially.

Thank you for being honest and serious with your report.

First Name
Your answer
Last Name
Your answer
Role *
Describe what happened. *
Your answer
When did this happen? *
Your answer
Who was involved in this situation?
Your answer
Did anyone else see what happened? *
If "yes," who saw the incident?
Your answer
Describe whether this was a one-time incident or part of an ongoing problem.
Your answer
What sort of help would you like with this situation?
Your answer
Is there anything else that we should know about this situation?
Your answer
Submit
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