Safety Reporting Form
After receiving numerous letters from JFT, teachers and support staff like you, the district decided to delay the start of school to allow more time to prepare to reopen in the midst of the COVID-19 pandemic. Please complete this form if there are still concerns at your worksite.

The State reopening plan is available here:
The Jefferson reopening plan is available here:
My concern relates to: *
Check all that apply.
Tell us about your concern. *
To your knowledge, does this involve a violation of your school district's policy? *
Have you reported this to your supervisor or to Central Office? *
If you answered yes above, what did they say in response?
Have you reported this to the LDOE? *
You can report a concern to the LDOE at this email:
Has anyone else witnessed this issue? Who? *
Have you been asked to teach students virtually? *
Have you received training in virtual teaching?
Clear selection
Where do you work? *
First and Last Name
Personal Email
Please provide your personal email, not your work email.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy