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Calexico Unified School District William Moreno Jr. High

1202 Kloke Rd, Calexico, CA 92231Driving Directions (760) 768-3960

Tip & Bully Report

Is this an Emergency? *Required

Yes No

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Date of Incident *Required

Time of Incident *Required

Who was involved and what were they doing? *Required 0 of 300 characters

What type of incident are you reporting? (Check all that apply) *Required

Alcoholism/Drug Abuse Bullying Depression/Self-Harm/Suicide School Violence (bomb,shooting,etc.)/Weapons Sexual Abuse Threatening/Threat to Student (assault,fight, etc.) Other

Where did the incident happen? (Check all that apply) *Required

Email/Chat Going To/From School On-Campus Off-Campus Someone's Home Social Media Online Other

Has an adult been informed of the situation prior to making this report? *Required

Yes No

What is the adult's name? *Required

Are there any other details you want us to know? *Required

Yes No

What other details should we know? *Required 0 of 500 characters

Optional Information

If you want to remain anonymous, you do not need to complete this section below.

What is your role?

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Incident Photo

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More information is often needed to take action on a report. By providing CatapultEMS with your email or cell phone, we can communicate with you anonymously.

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Note: To ensure privacy, your email and/or phone will be encrypted in the CatapultEMS database.

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Knowingly reporting a false threat is a crime.

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