Elementary Incident Report
Please use this to report incidents (this has replaced the email system).
Email *
Date of the incident *
MM
/
DD
/
YYYY
Approximate time of the incident *
Time
:
Name of all students involved, including their grades if different grades. *
Witnesses of the incident (list teacher and/or student names) *
Location of the incident *
Provide a factual account of the incident:
*
Was anyone injured during the incident? Provide brief description. *
Provide a description of what you did to help the student/s:
*
Have you contacted the parents yet? *
Please provide a reason for your answer above.
This is incident number ___ for the student: *
A copy of your responses will be emailed to .
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