Incident Report Form

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Incident Description:

Describe incident and action taken. Please only use factual information in your narrative. The reader should be able to fully understand the incident from reading your description.

Supporting documentation may include: Student work or post & Turnitin report; MS word document with the assignment or conduct in question; pdf of student work, image file of student work and image found elsewhere; screen shots of similar posts in the classroom; e-mail communication, etc. Accepted types of attachments are: .pdf,.txt,.doc,.docx,.xlsx,.xls,.ppt,.pptx,.zip,.rtf,.jpg,.png files. If you are unsure of what to submit as supporting documentation, or you are unable to attach the documentation via the online form, please contact Carrie Gagliano at

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