Get the free Dignity Act Coordinator Incident Reporting Form - pnwboces

Dignity Act Coordinator Recording Form NameofDACtakingthereport: Date: Nameofpersonreporting: Anonymous ContactInformation: Phone: Email: RelationshiptoStudentonwhose behalfyouare Meansbywhich report

How to fill out dignity act coordinator incident

How to Fill Out Dignity Act Coordinator Incident:

1. Retrieve the incident reporting form provided by your organization or educational institution. This form would generally be designed specifically for reporting incidents related to the Dignity Act.
2. Begin by filling out your personal information, such as your name, contact details, and position within the organization. This is important for further communication or clarification regarding the incident if needed.
3. Complete the section that requires details about the incident. Clearly describe what happened, including the date, time, and location of the incident. Be as specific as possible to provide an accurate account of the situation.
4. Identify the parties involved in the incident. Provide the names of the individuals or groups who were directly impacted or played a role in the incident. If there were witnesses, make sure to include their names and contact information as well.
5. Describe the nature of the incident. Specify whether it involved bullying, harassment, discrimination, or any other violation of the Dignity Act. Include any relevant details that contribute to understanding the severity or impact of the incident.
6. Provide additional information or documentation related to the incident, if available. This could include any written statements, photographs, or supporting evidence that might help in the investigation or resolution process.
7. Review the completed form for accuracy and completeness. Make sure that all relevant sections have been filled out and that the provided information is clear and understandable.
8. Submit the form as instructed by your organization or educational institution. Follow any specific submission protocols or guidelines provided to ensure that the incident is properly documented and addressed.

Who Needs Dignity Act Coordinator Incident:

1. Educational institutions: Schools, colleges, and universities that receive funding from the government are obligated to have a Dignity Act Coordinator. This coordinator is responsible for overseeing incidents related to bullying, harassment, or discrimination and ensuring appropriate actions are taken.
2. School staff and administrators: Teachers, counselors, principals, and other school staff members who witness or receive reports of incidents falling under the Dignity Act are required to report them to the Dignity Act Coordinator.
3. Students and parents: Any student or parent who believes that a Dignity Act violation has occurred should report the incident to the Dignity Act Coordinator. Proper reporting ensures that appropriate actions are taken to address and resolve the situation.

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