Anonymous Safety Report
Please complete the form below to report any safety concerns.
Any information entered will be emailed to District and Campus Administrators.
If you feel like this is an emergency and need to speak with someone, please call HISD at 361-798-2242.
Sign in to Google
to save your progress.
Learn more
* Required
Your Name (Optional)
Your answer
Date of Incident
*
MM
/
DD
/
YYYY
Approximate Time of Incident:
*
Time
:
AM
PM
Campus
*
Hallettsville Elementary
Hallettsville Jr High
Hallettsville High School
Other:
Where did the incident take place?
*
Your answer
Explain the safety concern including any critical details. (names, locations, etc...)
*
Your answer
Do you believe that anyone is in immediate physical danger? If yes, please dial 911 immediately to contact local law enforcement officers.
*
Yes
No
Include your contact information if you would like someone to contact you about this incident. Please note that by providing your contact information this form is no longer anonymous.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hallettsville Independent School District.
Report Abuse
Forms
