School Incident Report
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School name – Incident Report Form (Student) Date: Student Name (Optional): (Reports made by students may be anonymous) Details of the Incident(s): Name of the Victim(s): Name of the student(s) causing the problem(s): Time The Incident Happened: Date The Incident Happened: Name(s) of anyone else who might know what happened: Describe the incident(s) as clearly as possible, including such things as: what force or physical contact, if any, was used any verbal statements such as threats, requests, or demands and any electronic methods, including email, social media, and such..
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