Free Louisiana School Behavior Report Template
In the realm of maintaining conducive educational environments, the Louisiana Department of Education has instituted a systematic approach for addressing behavioral incidents within schools through the School Behavior Report Form “B”. Mandated by R.S. 17:416(A), this initiative underscores the imperative of keeping parents or guardians informed about any incidents that transpire on the school premises, including locations such as the classroom, cafeteria, and gymnasium, or during any school-related activities. The form serves a multifaceted purpose: it not only notifies parents/guardians of the incident and the ensuing disciplinary actions taken by school officials but also encourages a dialogue between them and the student involved to mitigate future occurrences. It meticulously documents the student’s name, the supervising teacher or staff member, and detailed specifics of the incident, including the date, time, and location. Moreover, it classifies the incident based on a variety of codes relating to the time and place of occurrence, the motivating factors behind the behavior, including any related influences such as drugs or bias, and the primary reason for the incident. In response to these incidents, the form outlines actions taken by both teachers and school administrators, ranging from counseling referrals to suspension, and invites comments from the student and parents or guardians. This comprehensive approach not only facilitates timely and effective communication between school and home but also ensures a targeted response to behavioral issues, emphasizing the safety, well-being, and educational progress of all students.
Form Example
LOUISIANA DEPARTMENT OF EDUCATION SCHOOL BEHAVIOR REPORT
In accordance with R. S. 17:416(A) the purpose of this report is to inform parents/guardians of a behavior incident on the school campus, in the classroom, cafeteria, gymnasium, auditorium, elsewhere at the school or during
Name of Student: |
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Phone: |
Grade/Section: |
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Name of Teacher/Staff: |
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Teacher/Staff/Location: |
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Name of Principal: |
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School: |
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Check One: |
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Date of Incident: |
Time: |
Location: |
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Regular Education |
504 |
Special Education |
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Time Code: |
01 Before School on Grounds, 02 During Class, 03 Between Classes, 04 After Normal School Hours & Supervised, |
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05 To/From School, 06 At Bus Stop or Transfer Station, 07 During School Extracurricular/Assembly Event, 08 |
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Recess, Club, Free Time, 09 Homeroom, 10 Breakfast/Lunch |
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Location Code: |
01 Classroom, 02 Restroom, 03 Lunchroom, 04 Hallway, 05 Playground, 07 At Bus Stop or Transfer Station, |
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08 Parking Lot, 09 Locker Room, 10 Cell Phone, 11 Internet, 12 To or From School, 13 School Sponsored Event, |
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14 Home, 98 Offsite Program, 99 Other |
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INFRACTION/REASON CODES (Check all that apply)
01. |
Willful disobedience |
11. |
02.
Treats an authority with disrespect
03. |
Makes an unfounded |
12. |
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charge against authority |
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04. |
Uses profane and/or |
13. |
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obscene language |
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05.
Commits immoral or vicious practices
06.
Conduct or habits injurious to his/her associates
07. |
Uses or possesses any |
14. |
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controlled dangerous |
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substances governed by |
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the Uniform Controlled |
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Dangerous Substances |
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Law, in any form |
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08. |
Uses or possesses |
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electronic vapor |
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products, tobacco, |
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lighter, or matches |
15. |
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09. |
Uses or possesses |
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alcoholic beverages |
16. |
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10. |
Disturbs the school or |
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habitually violates any rule
Cuts, defaces, or injures |
17. |
Violates traffic and |
36. |
Cyber Bullying |
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any part of public school |
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safety regulations |
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(*complete Bullying Form) |
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buildings/vandalism |
18. |
Leaves school premises |
37. |
False Alarm/Bomb Threat |
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Writes profane and/or |
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or classroom without |
38. |
Forgery |
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obscene language or |
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permission |
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39. |
Gambling |
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draws obscene pictures |
19. |
Is habitually tardy and/ |
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40. |
Public Indecency |
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Possesses weapon (s) as |
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or absent |
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defined in Section 921 of |
20. |
Takes another’s property |
41. |
Obscene behavior or |
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Title 18 of the U.S. Code. |
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or possessions without |
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Possession of Obscene/ |
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*Use of code 13 requires |
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permission |
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Pornographic Material |
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additional submission of |
21. |
Commits any other |
42. |
Unauthorized use of |
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the Weapon Type code. |
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Possesses firearms (not |
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serious offense |
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Technology |
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30. |
Discharge or use of |
43. |
Improper dress |
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prohibited by federal |
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law), knives, or other |
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weapon(s) prohibited by |
44. |
Academic dishonesty |
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implements, which may |
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federal law |
45. |
Trespassing Violation |
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be used as weapons, |
31. |
Possesses pocket knife |
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46. |
Failure to Serve Assigned |
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the careless use of which |
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or blade cutter with a |
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might inflict harm or |
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blade length < 2 ½” |
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Consequence |
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injury (Excludes pocket |
33. |
Use of OTC medication |
47. |
Misusing Internet/ |
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knives with a blade length |
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Violates electronic/ |
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< 2 ½“ - refer to code 31). |
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in a manner other than |
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technology policy |
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prescribed or authorized |
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Throws missiles liable to |
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34. |
Possession of Body Armor |
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Sexual Harassment |
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injure others |
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49. |
False Report |
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Instigates or participates |
35. |
Bullying/Harrassment |
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in fights while under |
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(*complete Bullying Form) |
50. |
Crime of Violence |
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school supervision |
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(per R.S. 14:2B) |
REMARKS/DESCRIPTION OF INCIDENT:
(REVISED 6/20/2023)
LOUISIANA DEPARTMENT OF EDUCATION SCHOOL BEHAVIOR REPORT
ACTION(S) TAKEN BY TEACHER OR OTHER SCHOOL EMPLOYEE
The student named above is hereby reported for inappropriate behavior as indicated in this report. This is the student’s 1st |
2nd 3rd 4th 5th |
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(circle one) or other |
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cumulative behavioral referral(s). I have taken the following action(s): |
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011 |
Referred to Office |
022 |
Therapeutic Removal |
030 |
Restorative Practices Implemented |
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012 |
Referred to Counselor |
025 |
Intervention Room |
173 |
Conference with Parents or Guardians |
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013 |
Referred to Social Worker |
080 |
Assigned Remedial Work |
175 |
Conference with Principal |
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014 |
Referred to SBLC |
120 |
Student Conference |
999 |
Other Action |
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018 |
Secondary Referral (PBIS) |
140 |
Student Reprimand |
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019 |
Tertiary Referral (PBIS) |
160 |
Loss of Privileges |
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Contact Parent/Guardian? Y |
N |
Date: |
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Phone Call |
Letter |
Conference Date: |
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Time: |
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RECOMMENDATION(S) BY TEACHER OR OTHER SCHOOL EMPLOYEE: |
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Signature of School Employee: |
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Date: |
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ACTION(S) TAKEN BY SCHOOL ADMINISTRATOR
The student named above is hereby reported for inappropriate behavior as indicated in this report. This is the student’s 1st 2nd |
3rd |
4th |
5th |
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(circle one) or other |
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cumulative behavioral referral(s). I have taken the following action(s): |
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000 |
No Action – only use if no |
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014 |
Referred to School Building Level |
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Assigned Remedial Work |
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reportable action was taken |
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Committee (SBLC) |
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120 |
Student Conference Date: |
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001 |
Expulsion Recommendation |
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016 |
Court Referral Date: |
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140 |
Student Reprimand |
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002 |
Suspension Out of School |
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017 |
Enforcement Referral (Arrest |
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160 |
Loss of Privileges |
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from |
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Resulted Y N) |
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173 |
Conference w/ Parents or |
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004 |
Suspension In School from |
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to |
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020 |
TOR (Time Out Room) |
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Guardians on: |
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Suspension Alternative Site |
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030 |
Restorative Practices Implemented |
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175 |
Conference w/ Principal on: |
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from |
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040 |
In School Detention from |
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180 |
Corporal Punishment (if checked, |
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012 |
Referred to Counselor |
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043 |
After School Detention from |
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to |
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complete “Corporal Punishment” |
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013 |
Referral to Social Worker |
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045 |
Weekend Detention from |
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to |
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Incidence Checklist) |
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999 |
Other Action(s): |
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Perpetrator: Serious Bodily Injury |
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Medical Treatment Y |
N Victim: Serious Bodily Injury |
Y N Medical Treatment |
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Contact Parent/Guardian? Y |
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Date: |
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Phone Call |
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Letter |
Conference Date: |
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SIS Primary Infraction/Reason Code Entered: |
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Signature of Principal: |
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Date: |
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COMMENTS BY STUDENT AND/OR PARENT/GUARDIAN:
Signature of Student:
Signature of Parent/Guardian:
Current Date:
Check appropriate blocks as copies of the document are supplied:
Parent/Guardian |
School’s Pupil File |
Employee Filing this Report |
Principal |
*NOTE: The principal shall return a completed copy of this form to the staff |
member who initiated the referral within 48 hours |
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(excluding
**Attachments: Provide copies of all documents related to the behavior of the student named above and prepared by the employee submitting this referral.
(REVISED 6/20/2023)
Document Breakdown
| Fact | Detail |
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| Purpose | To inform parents/guardians about a behavioral incident and the disciplinary action taken. |
| Governing Law | R.S. 17:416(A) |
| Incident Locations Covered | School campus, classroom, cafeteria, gymnasium, auditorium, school-related activities, etc. |
| Incident Timing | Includes before school, during classes, between classes, after normal school hours, and during school-related activities. |
| Behavior Codes | Encompasses a wide range of behaviors from possession of controlled substances to bullying and sexual harassment. |
| Actions Taken | Can range from no action to expulsion, including referrals to various school and external authorities. |
| Parent/Guardian Notification | Requires contact with the student's parent or guardian through phone call, letter, or conference. |
| Copy Distribution | Copies of the report are provided to the parent/guardian, pupil’s file, employee filing the report, and principal. |
Instructions on Filling in Louisiana School Behavior Report
When filling out the Louisiana School Behavior Report Form "B", it's important to provide accurate and detailed information about the behavior incident and the measures taken in response. This form plays a critical role in communicating between schools and parents or guardians about student behavior, ensuring everyone is informed and can work together to support the student's growth. Here's a straightforward guide to help you complete the form correctly.
- Begin by writing the student's Name, their Phone number, and Grade/Section at the top of the form.
- Fill in the Name of Teacher/Staff who is reporting, the Room #/Location of the incident, and the Name of Principal and School information.
- Indicate the student's education type by checking either Regular Education, 504, or Special Education.
- Write down the Date of Incident, Time, and Location where the incident occurred.
- Mark the Time Code and Location Code that best describes when and where the incident happened.
- Select the Motivation Code that explains why the incident occurred and check any applicable Related Influences, such as Drugs, Alcohol, or Bias.
- Circle "Yes" or "No" to indicate whether there was any serious bodily injury or medical treatment required for either the perpetrator or victim.
- Check all applicable Primary incident / Reason codes that describe the incident.
- Provide a detailed Remarks/Description of the Incident, including what happened and any relevant details.
- List the Actions Taken by the teacher or other school employees in response to the incident and whether the parent/guardian was contacted, including the method and date/time of contact.
- Write down any Recommendations by the teacher or other school employees for further action or support.
- Have the reporting school employee sign and date the form in the designated area.
- Detail the Actions Taken by the school administrator, including any disciplinary action or referrals, and specify if contact was made with the parent/guardian, including the method and date/time of contact.
- Enter the SIS Primary Infraction/Reason Code and have the principal sign and date the form.
- Allow space for Comments by the student and/or parent/guardian and obtain their signatures along with the current date.
- Finally, check the appropriate blocks at the bottom of the form to indicate who has been supplied with copies of the document.
After completing and submitting the form, it's crucial to follow up on any recommendations or actions outlined in the document to support the student's development and ensure a safe and conducive learning environment.
Listed Questions and Answers
What is the purpose of the Louisiana School Behavior Report Form "B"?
The Louisiana School Behavior Report Form "B" is designed to officially inform parents or guardians about a student's behavior incident occurring on school premises or during school-related activities. It covers areas such as the classroom, cafeteria, auditorium, and more, providing details about the incident and the disciplinary actions taken by the school. The form aims to engage parents in a discussion with their child to help understand and potentially prevent future behavior issues, thereby ensuring the safety and well-being of all students.
Who fills out the Louisiana School Behavior Report Form "B"?
This form is typically filled out by the teacher or school staff member who oversees or witnesses the behavior incident. After completion, it is then submitted to the school's principal for review and further action. The process ensures that all relevant details about the incident and the initial response are documented and communicated effectively.
What types of incidents are reported on this form?
Various incidents can be reported on the form, including but not limited to:
- Use or possession of controlled substances or weapons
- Acts of violence such as assault, battery, or sexual battery
- Property crimes like arson, burglary, or vandalism
- Behavioral issues such as public indecency, sexual harassment, or trespassing
- Any serious offense or action that jeopardizes the safety or well-being of the school community
What information is included in the report?
The report contains detailed information regarding the behavior incident, including:
- The name and grade of the student involved
- The teacher or staff member reporting the incident
- Date, time, and location of the incident
- A detailed description of the incident and the motivation behind it
- Any related influences such as drugs, alcohol, or bias
- The primary incident/reason codes to categorize the behavior
- Disciplinary actions taken or recommended by the teacher or school administrator
- Parental notification and involvement requirements
How are parents notified about the incident?
Parents or guardians are notified through either a phone call, a letter, or a conference. The form includes sections to document the date and time when the parent was contacted, ensuring that they are promptly informed about the incident and the actions taken or recommended by the school.
What happens after the report is filled out?
After the report is completed and submitted to the principal, the principal reviews the incident details and the initial disciplinary actions taken. Based on this review, further actions may be recommended or enforced, such as referral to a counselor, social worker, or even outside agencies for more serious incidents. A crucial step includes a follow-up with the parents or guardians to discuss the behavior and agree on preventative measures or interventions.
Is there a requirement for follow-up after the initial report and disciplinary actions?
Yes, the form encourages continuous monitoring and follow-up by requiring that a copy of the completed form, along with any additional documents such as behavior intervention plans, is provided to the initiating staff member, the student’s file, and the parent or guardian. This ensures that all parties are informed of the incident and the steps taken to address the behavior, facilitating an ongoing dialogue aimed at preventing future occurrences.
Common mistakes
Filling out the Louisiana School Behavior Report Form is important for documenting behavior incidents and the actions taken by school officials. However, it's easy to make mistakes if you're not paying attention to the details. Here's a list of common mistakes people make:
- Not providing complete information about the student, such as forgetting to fill in the phone number or grade/section.
- Leaving the teacher/staff and principal's names blank, which is crucial for follow-up actions.
- Misidentifying the time and location of the incident, leading to confusion about when and where the incident occurred.
- Overlooking the time and location codes, which help in categorizing the incident accurately.
- Failing to check the appropriate box for Regular Education, 504, or Special Education, which impacts the handling of the incident.
- Not specifying the motivation behind the incident or checking the wrong motivation code, losing insight into the cause of the behavior.
- Omitting details on related influences, like drugs or alcohol, which may be vital for understanding the behavior.
- Choosing the wrong primary incident/reason codes, leading to incorrect categorization of the behavior.
- Forgetting to contact the parent/guardian or incorrectly marking the contact method used, which is essential for parental involvement.
In addition to these specific mistakes, it's also common for people to:
- Leave the remarks/description of the incident section incomplete, not providing enough context or details about the behavior.
- Not clearly indicate the actions taken by the teacher or other school employee, which is necessary for understanding the steps already taken before the report.
- Forget to sign and date the form, which serves as an acknowledgment of the report and its accuracy.
Paying attention to these common mistakes and ensuring all sections are completed accurately can improve the effectiveness of communication between the school and parents or guardians concerning behavioral issues.
Documents used along the form
When dealing with school behavioral issues, particularly in Louisiana, a comprehensive approach is often necessary to address and mitigate these concerns effectively. Besides the Louisiana School Behavior Report Form, several other forms and documents commonly play a crucial role in this multifacited process. These documents are designed to provide a holistic view of the student's behavior and the interventions implemented, thereby fostering a supportive and corrective educational environment.
- Behavior Intervention Plan (BIP): Drafted for students displaying persistent behavioral issues, this document outlines strategies and supports tailored to the student's specific needs to promote positive behavior changes.
- Individual Education Plan (IEP): For students with disabilities, the IEP is a legally binding document that outlines educational goals, accommodations, and modifications. It may include behavior management strategies if behavior interferes with the student's learning.
- Student Attendance Record: This document tracks a student's presence or absence in school, providing insights into how attendance patterns may correlate with behavioral incidents.
- Classroom Minor Tracking Form: Used by teachers to document lesser behavioral incidents that don't warrant a full behavior report. It helps in identifying patterns and determining when escalated intervention might be needed.
- Parent/Guardian Contact Log: Records attempts and instances of communication with a student's family concerning behavior, academic performance, or other important issues, essential for ensuring home-school collaboration.
- Restorative Practices Documentation: Illustrates the use of restorative practices in addressing conflicts or misconduct, detailing meetings or processes undertaken to repair harm and rebuild relationships within the school community.
- Student Reflection Form: Allows students to articulate their thoughts and feelings about a behavioral incident, encouraging self-assessment and recognition of the impact their behavior has on others.
- Conference Summary Form: Used to document the outcomes of meetings between school staff, the student, and possibly the parents/guardians. It records agreed-upon action plans and any disciplinary actions to be implemented.
Together, these documents create a comprehensive framework that assists educational professionals in understanding and addressing student behavior comprehensively. While the Louisiana School Behavior Report Form acts as a crucial starting point, the additional forms and documents ensure a multi-pronged approach, facilitating not just disciplinary measures but also the support, guidance, and interventions needed to foster a conducive learning environment. This ensemble of documentation empowers schools to act in the best interest of their students, aiming for not just correction but also rehabilitation and the promotion of positive behavioral and academic outcomes.
Similar forms
The Louisiana School Behavior Report form is similar to several other documents used within educational and behavioral management frameworks. These documents range in purpose from tracking student discipline to documenting incidents for review by school administration or legal guardians. Each serves a vital role in maintaining the educational environment's safety, health, and coherence.
Student Discipline Referral Form: The Louisiana School Behavior Report shares similarities with the Student Discipline Referral Form used by many schools. Both forms are designed to document and communicate instances of student misconduct to relevant school personnel and guardians. They typically include information on the student involved, the nature of the incident, and any disciplinary actions taken. Where they converge is in their structured approach to categorizing the behavior, pinpointing the time and location of the incident, and specifying the follow-up actions by school authorities. This systematic documentation is crucial for understanding behavior patterns and devising appropriate interventions.
Behavioral Intervention Plan (BIP): While a Behavioral Intervention Plan is more prescriptive than a report form, the Louisiana School Behavior Report form contains elements that could be seen in a BIP, especially regarding the motivation for the student's behavior and the action(s) taken by school staff. A BIP is developed for students with consistent behavioral issues, detailing strategies and supports to address specific behaviors. Both documents are concerned with identifying the root causes of behavior (as seen in the motivation codes in the Louisiana form) and ensuring that targeted, effective measures are applied to support behavioral change.
Incident Report Forms: Common in many schools, Incident Report Forms are used to record any significant occurrences, including accidents, injuries, or breaches of school policy. Similar to the Louisiana School Behavior Report, these forms collect detailed information about the event, including the individuals involved, a description of the incident, and any immediate actions taken. Both forms serve as a formal record of events that may require further investigation or intervention and can be used in administrative or disciplinary meetings to understand the full scope of the incident.
Positive Behavioral Interventions and Supports (PBIS) Documentation: PB'IS documentation and the Louisiana School Behavior Report form share a focus on tracking and improving student behavior through structured interventions. While PBIS materials often encompass a wide range of tools and records, such as behavior tracking sheets and reward systems, the Louisiana form contributes to this broader framework by providing a snapshot of behavioral issues and the school's response. These documents collectively support a proactive and positive approach to managing student behavior, emphasizing the importance of continuous observation and tailored support.
Dos and Don'ts
When completing the Louisiana School Behavior Report Form, individuals are advised to follow specific guidelines to ensure accuracy and compliance. These guidelines are divided into actions that should be taken and those that should be avoided.
Do the following:- Verify all sections are completed accurately: It's crucial to fill out every part of the form with the correct information, ensuring that no sections are left blank unless they are not applicable to the specific incident.
- Use legible handwriting or type the information: This makes the form easier to read and understand for everyone involved in the process, including school officials and parents.
- Check appropriate boxes: Carefully read each section and check the boxes that apply to the behavior incident, including the education status of the student, related influences, and actions taken.
- Include specific details in the remarks/description section: Providing a clear and detailed account of the incident will help in understanding the nature of the behavior and the context in which it occurred.
- Circle the number of cumulative behavioral referrals: It's important to indicate whether this is the student's first or a subsequent referral to track behavioral patterns.
- Ensure the form is signed and dated: The signatures of the school employee and the principal validate the report, making it an official document.
- Make copies for all relevant parties: Distribute copies to the parent/guardian, keep one in the school’s pupil file, provide one to the employee filing the report, and ensure the principal has a copy for their records.
- Leaving sections incomplete: Failing to fill out all applicable parts of the form can lead to misunderstandings and may not provide a complete picture of the incident.
- Using vague language in descriptions: Ambiguity can obscure the specifics of the incident, making it difficult for the parties involved to understand what occurred and how to proceed.
- Forgetting to check the appropriate codes for time, location, motivation, and primary incident: These codes are essential for categorizing and understanding the context of the behavior.
- Omitting related influences or motivations: Neglecting to check boxes related to drugs, alcohol, gang involvement, or bias motivations misses important factors that could impact the response to the incident.
- Overlooking the communication with parents/guardians: It is vital to document communication attempts with the student's parents/guardians, including phone calls, letters, or conferences.
- Misplacing the form after completion: Ensuring the form reaches the appropriate parties and is stored correctly is essential for accountability and follow-up.
- Delaying the completion or submission of the form: Timeliness in documenting and reporting incidents is crucial for effective behavioral management and intervention.
Misconceptions
Understanding the Louisiana School Behavior Report Form can sometimes be confusing, and several misconceptions often arise. Let's clear up some of the most common ones.
- Misconception 1: The form is only used for severe disciplinary issues.
This isn't true. The form covers a wide range of behaviors, from minor infractions to serious offenses. It's designed to document any behavior that can impact the school environment, ensuring there's a record for both minor and major incidents.
- Misconception 2: Once a student receives a report form, they are automatically subjected to harsh disciplinary actions.
This is incorrect. The form is part of a process to inform parents and guardians about the incident and doesn’t directly translate to severe punishment. School officials use it to communicate and discuss subsequent steps, which might include restorative practices rather than just punishment.
- Misconception 3: The report form is only for incidents that happen during school hours.
Actually, the scope of the form includes behavior incidents occurring on the way to and from school, during school-related activities, and in some cases, behaviors outside of normal school hours but impacting the school environment. This broad scope ensures comprehensive coverage of student behavior.
- Misconception 4: Parents or guardians are the last to know when the form is used.
On the contrary, one of the form's primary purposes is to ensure that parents or guardians are promptly informed about the incident. It encourages open dialogue between the school and the family to address the behavior effectively.
- Misconception 5: The behavior report form stigmatizes students.
While it might appear that way, the form is actually a tool for accountability and improvement. It helps in identifying patterns that might require intervention and supports constructive discussions on behavior. It's intended to help students learn from their mistakes, not to label them.
- Misconception 6: Student information shared in the report is available to the public.
This is false. Confidentiality is a key aspect of the form's use. The information is shared with relevant parties only, such as parents/guardians, specific school staff, and sometimes specialists if further intervention is needed, ensuring the student's privacy is protected.
- Misconception 7: The form is only filled out by the principal.
Actually, while the principal or school administrator might ultimately be responsible for overseeing the process, teachers and other school employees can initiate and fill out the form when they witness or manage a behavior incident. This ensures a more immediate and direct response to the behavior.
- Misconception 8: The form limits parental involvement in deciding the outcome.
In reality, the form facilitates parental involvement by ensuring they are informed and invited to discuss the incident and its implications. This approach promotes a cooperative effort between the school and the family in addressing and preventing future incidents.
- Misconception 9: Filling out the form is the final step in handling behavior incidents.
This perception is incorrect. The form is part of a broader approach to behavior management that might include follow-up actions, interventions, or support mechanisms tailored to the student's needs. It's a step towards a resolution, not the conclusion.
Clarifying these misconceptions ensures a comprehensive understanding of the Louisiana School Behavior Report Form's role in managing school discipline. It underscores the importance of communication, intervention, and support in fostering a positive and safe school environment for all students.
Key takeaways
When completing the Louisiana School Behavior Report Form "B", it's essential to ensure all information is recorded accurately and clearly for the intended purpose of informing parents or guardians about their child's behavior at school. Here are key takeaways to guide you through the process:
- Verify the student's information, including name, phone number, and grade/section, to ensure the report is associated with the correct individual.
- Detail the incident accurately, specifying the teacher or staff member involved, location, date, and time to provide a clear context of the event.
- Use the provided codes to describe the incident accurately, including the time code, location code, and motivation code, to standardize the report for administrative processing.
- If applicable, indicate any related influences such as drugs, alcohol, gang involvement, or bias reasons to offer a comprehensive understanding of the incident’s background.
- Clearly mark whether the perpetrator or victim sustained serious bodily injury or required medical treatment to highlight the severity of the incident.
- Check the appropriate primary incident/reason codes that best describe the behavior to ensure clarity regarding the nature of the incident.
- Describe the incident in detail in the remarks/description section to provide a narrative that captures what occurred, including the actions leading up to and following the incident.
- Record the actions taken by the teacher or other school employees in response to the behavior, including any disciplinary measures or referrals to show the school's immediate response.
- Indicate whether the parent or guardian has been contacted, including the method of contact, to ensure they are informed of the incident and the school’s response.
- Ensure that the school administrator’s actions are also recorded, showing any additional disciplinary measures or follow-up steps taken at an administrative level.
- Include comments from both the student and parent or guardian, if applicable, to offer their perspective or response to the incident and the report.
- Signatures from the school employee, principal, student, and parent/guardian verify the accuracy of the information provided and confirm their acknowledgment of the report.
- Check the distribution of copies to ensure all relevant parties, including the parent or guardian, the student’s file, the employee filing the report, and the principal, receive the information.
By following these guidelines, you can use the Louisiana School Behavior Report Form "B" effectively to communicate important information regarding student behavior and disciplinary action, promoting a cooperative approach to addressing and modifying behavior.
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