MICHIGAN STATE POLICE OFFICE OF SCHOOL SAFETY
INCIDENT REPORT

2018 Public Act 551
Approved by the Governor December 27, 2018
Effective Date March 28, 2019
 
If this incident is an emergency and has not been reported to law enforcement, please call 911.  This report is required for 2018 Public Act 551; the information is used for statistical tracking and the database is not monitored 24/7.  You MUST follow your school's policy to report incidents to law enforcement. 

Questions regarding the Office of School Safety Incident Report can be directed to MSP-SchoolSafety@michigan.gov.
School district, public school academy, or intermediate school district

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* 1. School Name:

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* 2. Mailing Address:

Person completing incident report

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* 4. Contact Info for person completing incident report

Incident information

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* 5. Date of Incident:

Date

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* 6. Type of incident involving a crime:

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* 7. If the incident involved a property crime, include an estimate of the funds needed (for example $1,000.00) to repair the vandalism or destruction of school property. 

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* 8. Type of incident, involving the attempted commission of a crime:

Notice: If you need a copy of the incident report for your records, please print out this webpage as a PDF or physically print the document before submitting the incident report by pressing the "Done" button below.
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