This service is available for our participating schools only. Please fill out this information only if you have been notified by NewDawn Security personnel that it is necessary to do so.

This form is confidential, and does not violate any privacy laws.

Students Reporting Concerns

* = Required Information

School Name:*
Student Names(s)*
Describe Incident (1000 characters max) *
Please describe the actions you have taken if any (1000 characters max) *
Word Verification: