JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Report a Threat
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Date of Incident
*
MM
/
DD
/
YYYY
Date of Report
*
MM
/
DD
/
YYYY
Who was the person(s) engaged in making a threat?
*
Your answer
Grade of person(s) who made the threat?
*
Your answer
Who/What was the threat directed at?
*
Your answer
What type of threat?
*
Physical
Emotional/Social
Damage to Property
Online
Other:
Required
Other location details: (Please explain the specific location details such as which hallway, where on the internet, what restroom, etc.)
Your answer
Describe what happened with as many details as possible.
*
Your answer
Person reporting the incident:(OPTIONAL). Please provide your full name and contact information.
Your answer
May we contact you for more information on this incident?
Yes
No
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Wells ISD.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report