Lovington Municipal Schools

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School Safety Form

Please complete this form to the best of your knowledge so we can assist you.
This information will be kept confidential with your campus administrator and/or superintendent.

School Safety Report

Date of Incident:

Date of Report:

Who was the person(s) engaged in bullying or threatening school safety?

Grade of person(s) being reported?

Who was being bullied or threatened?

Grade of person who was being bullied?

What type of threat is being reported?

Reaquired field: Physical

Reaquired field: Emotional/Social

Reaquired field: Damage to Property

Reaquired field: Online

Reaquired field: Bullying

Other Helpful Information:

Other location details: (Please explain the specific location details such as which hallway, where on the Internet, what restroom, etc)

Describe issue with as many details as possible.

Person reporting the incident:(OPTIONAL). Please use your full name.

May we contact you for more information on this incident?

Yes

Phone Number

Thank you for reporting this incident. We appreciate your concern. When you click "Submit Form" this will be sent to the campus administrator.

Email a copy to

optional

Required Fields