Centerville Elementary - School Safety Reporting Form
The safety of our students and community is of the utmost importance to us. We encourage students, parents, and community members to partner with Centerville ISD to keep our schools safe, If you see or hear something, please say something!
Please use this form to submit your concern to district and campus administrators. This form is anonymous, unless you choose to leave your name, and will be shared with the appropriate school administrators for further action. The system is not monitored 24 hours a day and any reports submitted outside of the school day or during holidays will be responded to on the next school day.
As always, please fell free to reach out to our staff directly by email or phone.
Thank you for doing your part in keeping our schools and community safe for our students!

Please do not use this form for issues requiring immediate assistance!
If this is an emergency requiring immediate assistance, please call or text 911.

This is a serious communication tool: there may be consequences for intentionally sharing false information.

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I am a concerned: *
Did you witness this incident or hear this threat firsthand? *
Please describe the incident of concern or threat using as much detail as possible: *
Please list the name of the person or persons causing harm or threatening to cause harm, if known:
Please list the name of the person or person being harmed or threatened, if known:
Date of incident or threat, if known:
MM
/
DD
/
YYYY
Did anyone else witness the incident or threat?  *
Names of other witness, if known:
Would you like to leave your name and contact information if we need more information?
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