Submit a Report
If you feel unsafe or know someone who feels unsafe, please report it here. After you fill out the form below, Pansophic Connect Tip Line sends an email to a school administrator with all of the details from your report.
What can I report?
Safety threats, bullying, harassment or intimidation at school
Safety threats, bullying, harassment or intimidation outside of school
Cyberbullying; Facebook, Instagram, YouTube, etc.
Fights, drugs, alcohol or weapons at school
Friends who talk about hurting themselves
What state or country do you live in?
Select...
Alabama
Alaska
Antigua and Barbuda
Arizona
Arkansas
Barbados
California
Canada
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
United Arab Emirates
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
School or Site Name
Who are you?
Select...
Student
Staff
Board Member
Volunteer
Parent
Other
Where did the incident occur?
Select...
At an after school activity
At the bus stop
During recess
In a text message
In an email
In an instant message
In class
In front of the building
In person
In the bathroom
In the cafeteria
In the gym
In the hallway
In the locker room
In the parking lot
On Facebook
On Instagram
On the bus
On the field
On Twitter
On YouTube
Over the phone or on a voicemail
Snapchat
Tik Tok
Other
When did it happen?
@
How many times has this situation happened?
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This is the first time
One other time
Once a month
Once a week
Every day
Have you reported this to an adult?
Select...
No
Yes
Who was bullying, harassing, intimidating or causing harm?
Include first name, last name and grade if known.
Who was the person being harmed, bullied, harassed or intimidated?
Describe what happened. Give as much information as you can. Let us know if there were any witnesses.
Select...
Observed By Teacher
Reported To Teacher
What is your name?
If you would like someone to contact you, please add your email or phone number here.
Attachments may be submitted on the following page.
Submit
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