Threat Reporting Form

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Campus Brand *

City the school is located in: *

Report Type: Select all that apply *

Bullying (can include verbal or physical discrimination or harassment including but not limited to race, sex, religion or disability)

Suicide

Drugs

Verbal or Physical Threat

Fight

Weapons

Abuse

Safety Risk

Other

Required

Are you reporting this on behalf of someone else?

Yes

Clear selection

Your name (reporting individual)

Your Phone Number (reporting individual)

Your email (reporting individual)

Name of Individual you are reporting: *

How did you become aware of this information?

Social Media

Overheard someone talking about it

First-hand Knowledge

Other:

Clear selection

Are there any weapons involved?

Yes

Maybe

Clear selection

If related to suicide- is that individual currently safe? *

Yes

Not sure

If you have selected no or not sure, please call 911 or your local authority.

If related to harm/violence- is there immediate danger?

Yes

Not Sure

If you have selected yes or not sure, please call 911 or your local authority.

Clear selection

What are the details of the threat? (Please include as much information as possible)

Submit

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