KidVoice™ Official
COMPLAINT FORM
Form KV-C · Starter Edition
Case No:
Date:
That's You
My Name:
My Job:
Who's in Trouble
Their Name:
Where:
What They Did (check all that apply)
How Bad Was It?
What Happened (in your own words)
What I Want to Happen
My Signature
Date
KidVoice™ Official Document
OFFICIAL COMPLAINT FORM
Form KV-C · Rev. 2
RECEIVED
PENDING
REVIEW
PENDING
REVIEW
Case No:
Date Filed:
Section 1 — That’s You
Your Name:
Your Title:
Section 2 — Who’s in Trouble
Name of Offender:
Where It Happened:
Section 3 — What They Did (check all that apply)
Section 4 — How Bad Was It?
Section 5 — What Happened (in your own words)
Section 6 — What I Want to Happen (check all that apply)
Complainant Signature
Date
For Official Use Only
Reviewing Authority
KidVoice™ Official Document
INCIDENT REPORT
Form KV-IR · Rev. 1 | Confidential
RECEIVED
PENDING
REVIEW
PENDING
REVIEW
Case No:
Date:
Time:
Section 1 — Reporting Party
Full Name:
Title / Role:
Section 2 — Respondent
Name:
Location:
Witness(es):
Section 3 — Nature of Violation (check all that apply)
Section 4 — Severity Assessment
Section 5 — Incident Description
Section 6 — Supporting Evidence
Section 7 — Requested Resolution (check all that apply)
Proposed Resolution Timeline
Resolution requested by:
Complainant Signature
Date
For Official Use Only
Reviewing Authority
