Hampshire Regional High School - Confidential Reporting Form
Use this form to report confidential information to administrators at Hampshire Regional High School ONLY.  Do not use this form for any other district schools.

Disclaimer Statement

This is not an emergency hotline. This report may not be read immediately by school officials.   If you are reporting an event that could immediately affect your school community, please call 9-1-1 or your local emergency number.

This Confidential Reporting Form is intended to facilitate the reporting of sensitive information to school officials, including information regarding student safety, violence, drug use, or students who may be in need of assistance.  Reports submitted here will be forwarded to a designated school administrator and, at the school administration’s option, to local enforcement agencies.  No disciplinary action will be taken on an alleged aggressor solely on the basis of this confidential  report.

If information reported through this system becomes the subject of a law enforcement investigation, we may be required by court order to identify the Internet domain from which you submitted your report.  Although not required, you do have the option of providing your name and contact information, which may expedite the investigation.  If you do not provide enough information to investigate, leaving your name and contact information would help school officials adequately follow up on your concerns.

Please use the Confidential Reporting Form responsibly.  Adverse consequences, including serious criminal charges, may result from the submission of a false report.  Any unauthorized attempts to upload information or change information on our Confidential Reporting Form are strictly prohibited and may be punishable under the Computer Fraud and Abuse Act of 1986 and the National Information Infrastructure Protection Act.
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Date of Incident *
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Time of Incident *
Time
:
Location *
Person(s) Involved *
Description of Information *
Name and Contact Information
General Terms *
Required
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