WPCP Incident/Concern Report
Please use this form to report any incidents or concerns related to a Payton community member(s) that you consider to be offensive, inappropriate, troubling, or disconcerting.

Your name will not be shared with the community member(s) unless that is something you and Payton Admin decide together.

Your submission will be reviewed by an administrator who will determine the next best steps for gathering information and responding appropriately. We may contact you for additional information before a response takes place unless the incident requires an immediate response.

Please Note: Only administrators have the ability to view report submissions. Follow up occurs ASAP, based on the level of urgency, and always within 48 hours of submission. Administration cannot disclose confidential  information or submission responses.
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You are a Payton: *
必填
If you responded with "other" to the previous question, please specify
Your name (first and last) and pronouns *
Your email address *
Select Incident/Concern: *
必填
Names (first and last) of all persons involved *
Please describe, in detail, the incident or concern. Include dates, times, and locations. If you would like to share a photo or screenshot, please email kjhindmand@cps.edu *
If you are a Payton student, please complete. This incident/concern...  
Next steps you feel are necessary to restore your sense of belonging at Payton. What you need from the community, administration, etc. *
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