Follow the steps to fill out the form online.

1. Click the ‘Get Form’ button to access the form and open it in your preferred document editor.
2. Begin with the section labeled 'Student,' where you should input the name of the student involved in the incident. Ensure the name is spelled correctly for accurate record-keeping.
3. Next, fill in the 'Time of Incident' by entering the exact time the incident occurred. Be sure to follow the proper format shown in the document.
4. In the 'Location' section, check one of the provided options that accurately describes where the incident took place. If it is not listed, use the 'Other' option and specify the location.
5. Under 'Referring Staff,' print your name clearly and provide the 'Date of Incident.' This confirms who is filing the report and when it was completed.
6. In the 'Problem Behavior' section, check only one box that represents the primary issue observed. If the incident involves chronic minor offenses, be sure to reference any relevant low-level referrals.
7. Proceed to the 'Possible Function' section and check the single most applicable box to describe the nature of the behavior observed during the incident.
8. Fill out the 'Team / Track' section with the appropriate information related to the student.
9. In the 'Environmental Factors' section, identify the factor that may have contributed to the behavior by checking one of the options provided.
10. Provide a detailed, behavior-specific description of the incident in the designated area. Be thorough to ensure clarity.
11. List any other individuals involved in the incident by checking the relevant boxes. Document last contact with the parent or guardian with the appropriate date.
12. Check the type of communication used regarding the incident and sign the 'Referring Staff Signature' section.
13. Finally, in the Administrative Action Taken section, you can check any necessary actions taken regarding the incident, and ensure that the administrator's signature is added upon completion.
14. After completing all necessary sections, save your changes, then download, print, or share the form as needed.

Complete your forms online today for a streamlined and efficient process.