Gustine ISD Safety/Threat Reporting Form
This form is to be used to report safety/threat issues. The purpose of this form is to alert Gustine ISD Administrators of possible safety/threat issues so they can conduct a thorough investigation.  Providing more detailed information will lead to a more thorough the investigation.  
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Date *
MM
/
DD
/
YYYY
Person making report: (This is optional, however by giving us your name it will make a thorough investigation easier.)
I am a: *
Day Time Phone Number (optional)
Address (optional)
Email Address (optional)
Person or Persons That Are Threatening the Safety of a GISD Campus or Employee or Student (if known)
Person or Persons or Campus That Are The Target of a Safety Threat (Please provide first and last names.) *
Date of Incident *
MM
/
DD
/
YYYY
Time of Incident *
Time
:
Type of Threat *
Witnesses (List people who saw or heard the threat or that have relevant information about the threat. Please tell us if the witness is a parent, staff member, student or community member.) *
Describe the incident in detail, including the name of the person or persons involved, what was said and done, and specific words used. *
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