Mt. Diablo High Anonymous Reporting Form
Is something bothering you?  Are you afraid of someone?  Or do you know about somebody else who is afraid? Is something dangerous happening at school or anywhere else that you'd like us to stop?  We can help.  Even if nothing bad has happened yet, but you think something might happen in the near future, we still want to know about it.  Please tell us.

Your report could save lives, prevent injury, or keep a small problem from becoming more serious.  Thank you for letting us know about it.

IMPORTANT!!  If you think this is a life-threatening emergency,  Call 9-1-1.

All messages will be kept private and confidential.

You don't have to tell us who you are, but it would help to have your name and telephone number or the name and telephone number of others who could provide additional information for our confidential investigation.
Sign in to Google to save your progress. Learn more
Your Name (First and Last) - optional
Your Email Address - optional
Please, in as much detail as possible, describe the situation you wish to report. Providing as much detail as possible will help us remedy the issue-- include names, dates, and locations if you can. If you would like to talk about this situation with an administrator, please be sure to include your contact information.  *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Mt. Diablo Unified School District. Report Abuse