Report a Concern Form

Under Board Policies and Regulations 1600, 3210, 3210R, 3215, 3215R, 5265, 5265R, 5266 & 5266R, Tacoma School District No. 10 is committed to a positive and productive education and work environment free from discrimination, including sexual harassment.

Please complete this form if you believe that an incident involved one or more of the following:

  • The incident involved harassment or mistreatment directed at an adult (including staff or parent).
  • The incident involved sexual harassment or unwelcome sexual behavior.
  • The incident involved discrimination based on race, gender, religion, disability, or other protected characteristics.

If you believe that an incident involved student-to-student harassment, intimidation, or bullying (HIB) in the educational environment, please report the concern by completing the Report Harassment, Intimidation or Bullying (HIB) form.  

Contact Information

Please provide your contact information (optional).

Your Name
First Name
Last Name
Your role:

Incident Details

Provide information about the incident that occurred.

Please note, if you believe that an incident involved student-to-student harassment, intimidation, or bullying (HIB) in the educational environment, please report the concern by completing the Report Harassment, Intimidation or Bullying (HIB) form.

Please indicate a date. (Must contain a date in MM/DD/YYYY format)
Please describe the nature of the incident:
This incident was directed at a(n):
First and last name of the person who the incident was directed at.
The person who is accused is a(n):
First and last name of the person who is accused.
Where did the incident occur?
School or district location
Do you believe this incident happened because of a personal characteristic?
If "Yes," which characteristic(s)? Select all that apply.
0 / 1000
Important details about the incident.
Have you reported this incident to anyone else?
Example: Teacher, Principal, District Staff, Law Enforcement
Attach up to 1 file with a maximum size of 10MB
No file chosen
Examples include supporting documents, screenshots, or photos.

Thank you for completing this form. 

Your submission will be reviewed by the District Civil Rights/Title IX Coordinator to determine next steps. If you provided your contact information at the beginning of this form, you may be contacted for more information.

Additional Questions?

If you have any questions about this form or related conduct, please contact:

Tiffany Davis-Brantley
Civil Rights Coordinator
(253) 571-1252
civilrights@tacoma.k12.wa.us

Student-to-Student

If you believe that an incident involved student-to-student harassment, intimidation, or bullying (HIB) in the educational environment, please report the concern by completing the HIB Form.

Complete a HIB form