Delavan Anonymous Reporting Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

You can help others by reporting observed threats, behaviors, actions, and harassment.

Use this form to report and suspicious behavior, threats, or observations. All responses will remain anonymous.

If you need IMMEDIATE ASSISTANCE, locate a teacher, administrator or call 911.

This form generates a report that is normally reviewed during school hours and should not be used if you need an immediate response.

Please select the threat category *

Abuse (physical, verbal)

Bullying (harassment or intimidating behaviors)

Cyberbullying

Cyber harassment

Fighting

Gun violence/threats

Suicide threats, cutting or self-harm

Weapons (brought to school/or discussion about using them)

Other:

Location of threat

Please provide details about where the threat took place, whether it was on school ground, online, or off campus.

Description of threat

Please provide details about what happened, what you heard, or what you saw.

Do you wish to be contacted by the administration or law enforcement regarding this threat?

Circle One:

Yes or No

If Yes, please leave your email address or phone number.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Delavan CUSD #703. Report Abuse