Anonymous Incident Reporting Form
McCall Middle School
Note: The information provided will remain anonymous.
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Date of incident *
MM
/
DD
/
YYYY
Time of incident *
Time
:
Location of incident *
Required
What is the name of the student(s) who was unkind.   *
What is the name of the student who was the target of the unkind behavior. *
Describe what happened. *
Are you aware of any past incidents with the person(s) that you are reporting?  
Clear selection
Have you told your parents/guardians?
Clear selection
The information above is accurate and true.  I understand that false reporting (providing information that is made up and untrue) is subject to criminal prosecution. *
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