Victoria Independent School District

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Incident Reporting Form

Victoria ISD prohibits all bullying, cyberbullying, dating violence, discrimination, sexual assault, sexual harassment, harmful, threatening, or violent behavior. Any individual that has knowledge of or has witnessed a child victimized by any offense listed above, should immediately report the incident to campus administration for investigation.

Reports may be submitted through VISD's anonymous online Incident Reporting Form below or by talking to school officials.

Please contact your school’s counselor if you would like to discuss available counseling services.

Alleged Type of Incident:*
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Campus*
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Alleged Victim/Complainant Information:

Alleged Offender/Respondent Information:

Name(s) of Witness(es) to Incident:

Incident Information

Did the alleged incident occur on school property?*
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Did the alleged incident occur at a school-sponsored activity?*
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Is this the first incident?*
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Has an adult at school helped you with this complaint?*
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If a written statement is submitted by a student or parent, it must be signed, dated and attached to this form.
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or drag it here.

Agreement

I certify that all statements made on this form are true, correct and complete. Any intentional misstatement of fact will subject me to appropriate discipline. I authorize school officials to disclose the information I provide only as necessary to pursue the investigation.*
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Confirmation Email