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Suspicious School Activity Report Form
Note: This form is to report threats to
K-12 schools only
;
please click
here to report threats to higher education.
Please complete the form below and click "Submit".
If you are non-law enforcement, we also encourage you to notify the SRO assigned to your school.
If this is an emergency - Call 911
Are you requesting OCIAC case support:
*
YES
NO (Situational Awareness Only)
Are you a TLO?
Yes
No
Your First Name:
*
Your Last Name:
*
Your Agency Name:
Your Rank:
Your Work / Cell Phone #
*
Your Email:
Report Number:
Date of Incident:
*
Time of Incident:
Name of Target School:
*
City/State of Target School:
Name of School Official Aware:
Name of Suspicious Person:
If Student, check box if they were suspended.
If Student suspended, Enter number of days below.
Subject Identification:
(DOB; Drivers License #; Phone Numbers)
Suspicious Phone # / Social Media Username:
Name of Suspicious Person Parents:
Phone # of Suspicious Person Parents:
Type of Threat / Information being shared :
Shooting
Bombing
Knife
Assault
Other (specify below)
Please describe :
*
Upload Attachments (if available)
Providing false or misleading information is a violation of Federal Law and may be subject to prosecution under Title 18 USC 1001. All information is subject to review and verification.
Check to acknowledge:
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