NOTE: This form is NOT for emergencies.

For mental health support:
- Suicide hotline OR Crisis Counseling OR General Counseling OR Abuse: 315-251- 0600  
- Text “Got5” to 741-741 for free, confidential 24/7 support
- National suicide prevention hotline: 800-273-TALK  
- Dial 211 for help finding local referrals  

To report an emergency, including mental health emergencies, please call 911.

Anyone who has a concern may fill out this online form, and it will be forwarded to the appropriate person who can best address the specific situation. Forms may be submitted anonymously. Please provide as much detail as possible when completing the form.
(MM/DD/YYYY)
Time of Incident:
Please provide the school or location where the incident took place.
What is the nature of the issue/incident you are reporting?
What is your connection to the incident/issue?
How did you learn of this issue?
What school does this person attend?
You may upload any photographs or screen shots here.
 
How can we contact you? Please enter your name and at least one form of contact. If you leave this section blank, you will remain anonymous and we will be unable to follow up with you.

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