Get the free Student Incident Infraction Report - lbcc

Office of Student Affairs Student Incident/Infraction Report Use this form to refer issues to the Dean of Student Affairs. GENERAL INFORMATION Student s Last Name: Student ID: First: Address: Phone:

How to fill out student incident infraction report

How to fill out a student incident infraction report?

1. Begin by gathering all necessary information related to the incident, such as the date, time, and location of the incident, as well as the names of the individuals involved.
2. Clearly identify who is completing the report, whether it is a teacher, administrator, or other staff member, and include their contact information.
3. Provide a detailed description of the incident, including what happened, who was involved, and any relevant circumstances or details.
4. If there were any witnesses to the incident, record their names and contact information, as their statements may be valuable during an investigation.
5. Assess the severity of the infraction and categorize it accordingly, using any predetermined classifications or codes that may be in place.
6. Identify any actions or consequences that were taken immediately following the incident, such as disciplinary measures or interventions.
7. If there were any injuries or damages resulting from the incident, document them accurately and thoroughly.
8. Consider attaching any supporting documents or evidence related to the incident, such as photographs, videos, or written statements.
9. Review the completed report for accuracy and ensure that all necessary information has been included.
10. Submit the report to the appropriate individuals or departments within the educational institution, following any established procedures or protocols.

Who needs a student incident infraction report?

1. Teachers and administrators: They need the report to be able to properly document and address any incidents that occur within the school or educational institution.
2. Parents or guardians: They may need the report to be informed about any infractions involving their child and to understand the actions taken as a result.
3. Law enforcement or legal authorities: If the incident is serious or criminal in nature, the report may be needed for further investigation or legal proceedings.
4. School district or board officials: They may require the report to track and address any recurring or persistent issues within the educational system.
5. School counselors or support staff: They may use the report to provide necessary interventions or support services to the students involved in the incident.
6. Future educators or school staff: The report may serve as a reference or documentation for future incidents or disciplinary matters involving the students in question.

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