Safe Schools Incident Reporting Forms Page 2

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Ministry of Education
SAFE SCHOOLS INCIDENT REPORTING FORM – PART II
ACKNOWLEDGEMENT OF RECEIPT OF REPORT
Report No: ____________________
Name: _________________________________
Date: ____________________
Report Submitted By:
Investigation completed
Principal to communicate results to the teacher at a mutually convenient time*
Principal to communicate results to other board employee at a mutually convenient time, as appropriate*
Investigation in progress
Once investigation is completed, principal to communicate results to the teacher at a mutually convenient time*
Once investigation is completed, principal to communicate results to other board employee at a mutually convenient time, as
appropriate*
Name of Principal: _________________________________
Signature: _________________________________
Date: ____________________
Note: Only Part II is to be given to the person who submitted the report.
* In accordance with s.300.2 of the Education Act, after investigating a matter reported by an employee, the principal shall communicate the results of
the investigation to the teacher or other board employee who is not a teacher, as appropriate. In accordance with the Municipal Freedom of Information
and Protection and Privacy Act and the Education Act, when reporting the results of the investigation, the principal shall not disclose more personal
information than is reasonably necessary for the purpose of communicating the results of the investigation

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