Report an Incident

Poudre School District is committed to maintaining a learning environment for students that is free from harassment based on an individual's race, color, creed, religion, national origin, ancestry, sex, sexual orientation, gender identity, gender expression, or disability. All such harassment by District employees, authorized volunteers, students and third parties is strictly prohibited. If you feel you have experienced and/or witnessed an incident that violates Poudre School Districts non-discriminatory and harassment free policy, fill out the following information and include as much information to accurately articulate your experience or the experience of others. To the extent possible, all reports will be kept private.

If you feel that a student or others could be in immediate danger, including yourself, please contact the Fort Collins Police Services at (970) 419-3273 or dial 911.

Do you want to be contacted in regards to this report?

I would like to be contacted in regards to this incident.

I would like to remain anonymous.

If you choose to remain anonymous you can still add yourself as a victim or witness below. This will not reveal you as the reporter but still allow appropriate action to be taken.

Enter your contact information

If you wish to be contacted, please include your e-mail, name and PSD ID number below.

Provide details about the incident

When did this incident occur?

If multiple incidents have occurred please enter the date and time of the most recent. Be sure to note that previous incidents have occurred and any relevant information.

Where did the incident take place?

Give specific details about where the incident took place. Use exact locations such as room numbers, addresses, street names, bus numbers, etc.

Describe the incident:

Interaction Type:

Note: Additional identification information can be added in the "Who was involved" section below

Who was the alleged victim?
Who allegedly caused harm?

What issues were involved with this incident?

Type of Incident
Please check the box(es) that most accurately categorize the type of incident you are reporting:
Title IX (Sexual Harassment)

Note: Title IX of the Education Amendments of 1972 prohibits sexual harassment and sex-based discrimination in PSD programs or activities. If you report an incident of harassment or discrimination categorized as sex, sexual harassment, and/or sexual violence; sexual orientation; gender identity; or gender expression, the report and/or incident will go to the District Title IX Coordinator for review and follow-up.

(The District Title IX Coordinator and/or Deputy Title IX Coordinators will contact you to explain the formal Title IX grievance process, including the submission of a signed formal complaint. This form is considered a report and does not constitute a formal complaint.)

Who was involved in this incident?

Include anyone that was an instigator, victim, witness, or knew of this incident.

Add any supporting documentation

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