Do you have immediate safety or security concerns?
Yes - and have already notified law enforcement
Yes - but have not yet notified law enforcement
Possibly so but not certain
No
How would you characterize this incident?
Interaction between students
Interaction with a teacher or administrator at a school
Interaction with or at a local business
Workplace harassment or interaction
Online incident or harassment
Other
Please describe the incident in as much detail as is available, including main actors involved, location, your response, and any follow up needed
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Submit
Should be Empty: