WMS - Confidential Safety Reporting Form

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Please use this form to report bullying, harassment, abuse, drug issues or concerns about the safety of your own life or the life of another person (e.g., suicide, self-injury, etc.).

The information you provide will be emailed to a school staff member who will check his or her email DURING REGULAR SCHOOL HOURS.

If you or someone you know is in IMMEDIATE DANGER, please
--call 911
--contact a trusted adult or school staff member
--call the Samaritans 24hr Suicide Prevention help line: 508-875-4500
--call the National Sexual Assault Hotline: 800-656-4673

NOTE:
This system is completely CONFIDENTIAL and ANONYMOUS. However, providing your name and contact information is very helpful.

Please provide as much detail as possible. *

My Name: (optional)

We may not be able to help you unless we know who you are.

Best way to contact me (optional).

Provide a phone number or email address.

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