School Incident Report Form Template
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School Incident Report Form

Please fill out this form to report an incident that occurred.

Incident Information

Incident Date and Time

    Location of Incident

      AuditoriumClassroomHallwayCafeteriaPlaygroundGymLabRestroomLocker RoomSports FieldSchool BusLibraryParking LotOnline

      Type of Incident

        AbuseArsonAssaultBullyingCheatingCyberbullyingDefamationDiscriminationDisruptionDrug UseFightingForgeryHarassmentInsubordinationIntimidationMisconductPhysical AltercationPlagiarismProperty DamageSexual HarassmentTheftThreatsTruancyVandalismVerbal AbuseWeapon PossessionOther

        Individuals Involved

        No.

        Name

        Role

        1

        2

        3

        4

        5

        6

        7

        8

        9

        10

        Incident Description

        Describe the events in as much detail as possible.

          Was school staff notified immediately?

          Were the parents or guardians notified?

          Communication Method

            • Email

            • Phone

            • In Person

            Reporter Information

            Report Date and Time

              Name

              Role

                • Student

                • Teacher

                • Staff Member

                • Parent

                Phone number

                  Email

                    Certification

                    I certify that the information provided in this report is true and accurate to the best of my knowledge.

                    Name:

                    Date:

                    Incident Report Form Templates @ Template.net

                    Thank you for submitting this report!

                    If you have any questions or concerns, please contact [Your Company Email].

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