Handle With Care Reporting Form

This form is for reporting officials ONLY!

Please fill out this form to help Teton County schools better serve our students by letting us know when a student has been involved in a traumatic event or accident. We will use this information to support this student and ensure his or her needs are being met at school. The information from this form will be sent to the relevant school representative, such as a principal or school counselor, and the information will be kept confidential. A spreadsheet that does not include any identifying information will be retained for county-wide reporting purposes.

Submission of this form DOES NOT replace mandatory reporting requirements to Child Protective Services (866-820-5437), and should not be used in the case of an emergency situation. Your agency still must follow proper mandatory reporting requirements when required.

Please fill out one form per student.

If you do not know the name of the child, please include the name of the adult, as well as the relation to the child who the Handle With Care notice is for. For example - John Doe (parent)
If exact age or grade is not known, provide an estimation to help the schools identify the child.
The name of the individual submitting the form
The phone number of the individual submitting the form.