Incident Report-RHS
Richmond High School is committed to providing a safe, comfortable learning environment for all students. This online form can be used by  students to report being bullied or by someone witnessing a student being bullied. When a person really needs help or there is a safety threat at school we hope you will step up and send in a report. Sending in a false report makes it harder for your school to help the people who really need it. When filling out the form, provide as much information as possible. An investigation will begin within five (5) working days.

If you need to speak with someone, please call the school at 816-776-2226. If you are in immediate danger, call 911.

This report is being submitted anonymously.* Once submitted, it will be forwarded to your school principal(s) with all of the details from your report.   *If you would like someone to contact you, please add your name, email or phone number below.

What can you report here? If you feel unsafe or know someone who feels unsafe, you can report it here.  For example:

- Safety threats, bullying, harassment or intimidation at school
- Safety threats, bullying, harassment or intimidation outside of school
- Cyberbullying on Facebook, Instagram, YouTube, Text Messaging, Instant Messaging, etc.
- Fights, drugs, alcohol or weapons at school
- Friends who talk about hurting themselves.  National Suicide Prevention Lifeline: 988
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Email *
School Name
When did it happen?
MM
/
DD
/
YYYY
What time did it happen?
Time
:
How many times has this situation happened?
Have you reported this incident to an adult?
Who was bullying, harassing, intimidating or causing harm? Include first name, last name and grade if known
Who was the person being harmed, bullied, harassed or intimidated?
Describe what happened. Give as much information as you can. Let us know if there were any witnesses.
Select which applies to you (Optional)
What is your name? (Optional)
Please enter the answer to the following math problem:  6 + 3
If you would like someone to contact you, please add your email or phone number here. (Optional)
By completing this form, you are verifying that your statements are true and accurate to the best of your knowledge.
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