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Test Security Incident Report Form

In accordance with the Family Educational Rights and Privacy Act of 1974 (FERPA), please do not include any confidential or personally identifiable information regarding students when submitting this incident report form. Initials only should be used for student names.

Name of the person(s) involved in the incident:
Include: A detailed description of a) what happened b) on what date c) who was involved d) how you learned about it and e) any others who know about or witnessed the incident. Please use initials for first and last names of any student discussed.
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