Incident Report
The purpose of this form is to report an incident to the MSD Decatur School Police. Please describe the incident being reported in as much detail as possible, so that Police and School Officials can complete a thorough investigation.
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Name of person completing this form (Anonymous is an acceptable answer, but please know that you will not receive follow up if you choose to remain anonymous) *
Email of person completing this form
Phone Number of person completing this form
Who was involved? (please provide first and last names) *
When did the incident occur? *
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Approximately what time did the incident occur? *
Time
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At which school did this incident occur? *
Specify where on campus the incident occurred. (i.e. Parking Lot, Gym, Room 214, etc.) *
Describe the incident in detail. *
What caused or precipitated the event? *
Witnesses to the Event *
Is there any other information you would like to add?
By submitting this form I agree that the information above is true and accurate to the best of my knowledge.  I understand that false reporting may result in consequences to and including criminal charges for false reporting under Indiana law, and school discipline could result in suspension or expulsion from school.   *
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