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Safe School Plan - William S. Hart Union High School District

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WILLIAM S. HART UNION HIGH SCHOOL DISTRICT<br />

HATE CRIME REPORTING FORM<br />

Reported to LASD<br />

Date:<br />

Report #:<br />

Officer Name:<br />

Classified as “Hate Crime” (by LASD)<br />

LOCATION OF INCIDENT:<br />

DATE OF INCIDENT: TIME: (am/pm)<br />

MOTIVATING FACTORS (as reported by LACSD)<br />

Disability Gender Ethnicity/Nationality Race/Color Sexual Orientation Other<br />

DESCRIPTION OF INCIDENT BY: TITLE:<br />

208

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