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

BOMB THREAT REPORT FORM
The following report form is to be used by the principal to report a bomb threat to the district office.
School: Date of call: Time of call:
Person who received call:
A. The Sheriff’s Station was notified by:
Date:
(Name of person)
Time:
Sheriff personnel contacted:
Deputy who responded to call:
B. Was a search made for the bomb? Yes No (If “Yes,” give details regarding the search.)
C. Was an evacuation conducted? Yes No (If “Yes,” indicate buildings or areas evacuated.)
D. Remarks:
(Principal’s Signature)
Send one copy to Assistant Superintendent of Personnel, one copy to Director of Student Services, and keep one copy for
school records.
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