LEA Model Document: Record of Parent Notification of Student Threat or Incident

Organization: Utah State Board of Education

This model resource provides a form, which is a record required to be maintained securely and confidentially by the school consistent with §53A-11a-203(3) following parent notification of student suicide threat, bullying incident, cyber-bullying incident, harassment incident, hazing incident or retaliation incident.  This form should not be used to notify parents of the incident.