Incident Report Form

All incident reports should feature the names of every student that was present in the proximity of the incident. It should feature the time of the incident, or your best estimation, and the exact location of the incident. Be specific and be thorough. It is always best to err on the side of too much information than too little. If your report doesn't contain enough detail, we will require you to write it again.

Example Incident Report

Please use the following form to submit an incident report:

Your Name:

First Name

Last Name

Date of Incident:

MM

DD

YYYY

Time of Incident:

Hour

Minute

Second

Location of Incident:

Student(s) Involved:

List students first and last names.

What happened?

Please cover the 4 Ws: who, what when, and where. An example incident report can be found at the button below the form.