Incident Report

If you are under 13 years old, please do not submit this form. We ask that a parent or guardian complete the form on your behalf. We are committed to protecting the privacy of children and require parental consent before collecting any personal information from those under the age of 13.

We ask for the contact information of a parent or guardian to ensure that we can reach out to a responsible adult regarding the details of this report. This is important for your safety and to make sure that your concerns are properly addressed. Please rest assured that this information will be kept confidential and will only be used to follow up on this report as necessary.

By submitting this report, you affirm that the information provided is accurate to the best of you knowledge. You also consent to this information being shared with members of the California State Legislature for the purpose of supporting legislative efforts to improve the Uniform Complaint Procedure (UCP) within the State of California and the Los Angeles Unified School District (LAUSD). You understand that your submission is confidential and will be used solely for legislative advocacy purposes.

Please note that this information will not be sent to law enforcement, other government agencies, or other organizations; it is for legislative advocacy purposes only. If your complaint involves a serious health or safety emergency, or if you believe the matter should be reported to the appropriate authorities, please submit your complaint to law enforcement or the relevant agency immediately.