Use this form to alert school officials to possible threats of bullying, school violence, or self harm.
Your Name (Optional)
What is your concern in regards to?
A Potential Threat
How do you know the person?
When did the incident occur?
Explain your concern in detail.
Have you reported this incident to anyone else?
If you answered YES to the question above, who did you report the incident to?
Is there any additional information to be aware of regarding this incident?
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This form was created inside of Leeton R-X School District.
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