# Incident Report Template

## Case Reference: [CASE-XXXX]

---

**Date of Incident:** [DATE]

**Time:** [TIME]

**Location:** [LOCATION]

**Reported By:** [ROLE — no name]

**Involved Parties:**
- Student A (Grade: [X])
- Student B (Grade: [X]) [if applicable]

**Witnesses:**
- Teacher A [Role only]
- Teacher B [Role only] [if applicable]

**Incident Type:** [Physical / Verbal / Other]

**Brief Description:**
[2-3 sentences, factual, no identifying details beyond grade/role]

**Action Taken:**
- [Action 1]
- [Action 2]

**Follow-Up Required:**
- [ ] Parent notification
- [ ] Counseling referral
- [ ] Disciplinary action
- [ ] Other: [specify]

**Parent Notification Status:**
- [ ] Notified
- [ ] Pending
- [ ] N/A

**Report Completed By:** [ROLE — no name]

**Date Completed:** [DATE]

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*Remember: Store this report in the school's secure case management system. Never upload to cloud AI tools.*