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Threat Report Form
This form may be used by a student or a student’s parent or guardian to submit a complaint
regarding Bullying, Intimidation, Violence, and Threats of Violence. All responses are anonymous.
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* Indicates required question
Where did this incident occur?
*
Winfield Elementary
Winfield Middle
Winfield High
Other:
Type of Incident
*
Arson
Assault
Bullying
Drugs
Graffiti
Fraud
Suspicious
Talk of suicide or self harm
Threats
Tress-passing
Vandalism
Weapons Violation
Other:
Description of the crime or incident
*
Your answer
Suspect Information
Your answer
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This form was created inside of Winfield City Schools.
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