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Which school is your report about?

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What is your report about?

What is your report about?

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Country

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State/Province

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City/School District

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When did or will this happen?

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What is/are the name(s) of the person(s) involved?

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Describe what happened or will happen?

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Did anyone else witness this?

Yes

No

Please provide witness name(s)

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Have you reported this to anyone else?

Yes

No

Please provide name(s)

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Do you want to leave your name?

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No

Name, Provide Email or Phone Number

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Do you have any images, videos or screenshots that may help with your report?

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Second File

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Third File

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Agreement

* I understand

By submitting this report, I acknowledge that the information I have provided is truthful. My report will be sent to the school or school district’s safe school coordinator, and may also be sent to local law enforcement for further assistance. Submitting a false report could be a punishable criminal offense.