Safe Reporting Form
This form is for reporting concerns such as bullying, harassment, threats, or other unsafe situations. You may choose to share your name or remain anonymous.
If someone is in immediate danger, please call 911 right away.
All reports are taken seriously and will be reviewed by school staff responsible for safety and well-being. Please note that if a safety concern is reported, the school is required to investigate and may need to take follow-up action.
Your Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Reporting:
Name(s) of the person(s) causing harm:
Name(s) of the person(s) being harmed:
Type of Concern: (Check all that apply)
*
Bullying/Mean or Aggressive Behaviour
Harassment (in-person/online)
Threat / violence concern
Self-harm concern
Other
Details of the Incident:
*
Please describe what happened, including when and where it occurred.
Upload Evidence (Screenshot, Image or Other)
Browse Files
Drag and drop files here
Choose a file
Use this if you have any evidence of the incident you would like to provide
Cancel
of
Urgency: Is anyone in immediate danger?
YES
NO
If this is an emergency, please call 911 immediately.
Submit
Should be Empty: