Threat of Harm Reporting Form

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This form should be used by parents or guardians to report a suspected threat (student who may harm themself or others). A written statement or other evidence may be included (e.g., screenshot, text thread, etc.). Once the form is received by the school, an administrator is responsible for initiating next steps in accordance with the district's policy. Should you have any questions, please contact the school principal.

Directions: Complete the form below to provide detailed information of the suspected threat. If some fields are not applicable or if you are uncertain of the response, you may skip those fields. This form may be submitted anonymously. This form is only monitored during school hours. If there is an imminent threat requiring immediate attention, please call 911 or the local police department.

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