Threat Report

A threat is an expression of intent to harm someone that may be spoken, written, gestured, or communicated in some other form, such as via text message or email. Threats may be explicit or implied, directed at the intended target or communicated to a third party. Behavior that suggests a threat such as weapon carrying, fighting, or menacing actions should be investigated to determine whether a threat is present.

The process is designed for assessment of threats to harm others and is not intended for individuals who have only threatened to harm themselves.

If you have knowledge of a potential threat, please complete the information below and click submit. The form will be sent and an investigation will be opened.

School Name

Name of person reporting threat:

First Name

Last Name

Date/time threat reported:

Affiliation of person reporting threat:

INCIDENT or BEHAVIOR OF CONCERN

Name of person making threat:

Date/time threat made:

Affiliation of person making threat:

Status:

Current/Other

Identification:

Age:

Grade, if student:

School program, if student:

Emergency Contact:

Relationship:

Home Address:

Phone:

Location threat occurred:

Summary of the incident or threat.

What was reported? Include who said or did what to whom. Who else was present?