Technology Incident Report Form
This form should be completed as fully as possible. For an incident involving or witnessed by a student, a staff member should complete the form on their behalf. However, any discussion between one witness and another should not precede completion of the form, as this might lead to allegations of collusion.
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Person Reporting
Grade
Teacher
Login
Password
Barcode #
Date and time of incident
Names of students involved
Names of witnesses involved
Events leading up to incident, if relevant
Description of what happened *
Problems with device
Submit
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