Statement Form (for Students)

To complete a statement, you should include the time, date, and location of the incident, as well as first and last names of any other persons or witnesses that were present. You should also include a thorough and detailed description of the incident.
Click the link below to download the statement form.  When finished completing the statement, save the file as a word document in the following format:
10-1-2021  First name Last name  (example: 10-1-2021 Jane M. Doe)
Please email the saved document back to the CSS member that requested the statement.


Click here for statement form