Victoria Independent School District

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Safe and Supportive Incident Reporting Form

Victoria ISD has a strong policy regarding student welfare and crisis intervention. If a student is exposed to harmful, threatening, or violent behavior at school, immediately report the incident to the principal or assistant principal, who will investigate the situation.

A parent or student can make this report by completing the form below or by talking to school officials. If counseling resources are needed because a child is a victim or witness to a threat, please contact your school's counselor. 

Incident Information:

Intended target/victim grade level #1*
Answer Required
Intended target/victim grade level #2:
Answer Required
Intended target/victim grade level #3:
Answer Required

Incident Information

Name(s) of witness(es) to incident:

Has an adult at school helped you with this incident?*
Answer Required
Is this the first incident?*
Answer Required

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.

Confirmation Email