Alta Sierra Anonymous Incident Report Copy

If you feel unsafe or know someone who feels unsafe, you can report it here anonymously.

Describe what happened. Give as much information as possible and witnesses if any
Who is involved with this issue?

Include first name, last name and grade if known
When did it happen? When did it happen? / MM / DD YYYY
What time did it happen (approximately)?
What time did it happen (approximately)?
: HH MM AM/PM
Where did it happen?
Please select location(s).

Please select location(s). Walking Home On The bus In the bathrooms at school In the hallways at school In the cafeteria Afterschool classroom (recovery school, detention, intervention) Cell phone or text message Social Media or Internet Website or Instant Message MPR Locker Rooms Tennis Courts Front Office Other Other
How many times has this situation happened?
Do you wish to talk to an adult?

Do you wish to talk to an adult? Yes No If yes, who? If yes, who?
Who are you? (optional)
Your Name (optional):
Your Name (optional):
First Last
Email (optional)
Please click the SUBMIT button to send your form.
Spam Protection. Please answer this simple question:
What is "six" as a number?