LaBrae Discrimination/Harassment Reporting
Please complete the form to report an alleged student discrimination or harassment incident.  If you have questions about whether or not you should complete this form, please contact your child's teacher or principal and request clarification.  You may also print and complete a hard copy of this form and submit it directly to the principal's office.

*Administrators will follow-up with you after investigating the reported incident unless anonymity is requested.  Due to federal privacy laws, they may only share limited information.
To which building administrator should this report be forwarded? *
Name of the person reporting the alleged incident.
Email of the person reporting the alleged incident.
Phone Number of the person reporting the alleged incident.
As the person reporting the incident, do you wish to remain anonymous? (If anonymity is preferred, the investigation may be limited so as not to disclose the source of the complaint and you will not receive follow-up from the investigating administrator) *
What is the date the alleged incident occurred? *
MM
/
DD
/
YYYY
Person/People involved with the alleged incident or violation. *
How many times has the alleged incident occurred? *
Please provide a detailed description of the alleged incident of harassment or discrimination.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of LaBrae Local School District.

Does this form look suspicious? Report

Google Forms