The Louisiana School Behavior Report Form "B" is a standardized document used by educators to report student behavior issues and the disciplinary actions taken in response. It serves to inform parents or guardians about incidents occurring on school grounds or during school-related activities, and encourages a conversation about the behavior to prevent future occurrences. Ensure your child understands the importance of their actions and the subsequent reactions by discussing the details of this report. For more information on how to complete the form, click the button below.
The Louisiana School Behavior Report Form "B", as mandated by R.S. 17:416(A), plays a crucial role in the state's educational landscape, ensuring that parents or guardians are promptly informed about their child's behavior incidents and the disciplinary actions that follow. Designed to cover a wide range of situations - from classroom disturbances to incidents occurring in various school settings including the cafeteria, gymnasium, and during school-related activities - this comprehensive document aims at not only addressing the immediate incident but also at encouraging a conversation between parents and students to prevent future occurrences. It meticulously records details such as student and teacher names, the incident's time and location, as well as the specific nature of the behavior through defined time, location, and motivation codes. Additionally, it outlines the influences related to the incident, including drugs, alcohol, and other factors, while also detailing the actions taken by school officials to address the behavior. By doing so, the form seeks to maintain a safe and conducive learning environment for all students, signaling the importance of a unified approach between school officials and families in managing and mitigating behavioral issues.
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 school-related activities, and of subsequent disciplinary action taken by school officials. Because this or other incidents may jeopardize the safety, well-being or education of other students, parents are urged to discuss the incident and possible implications with the student to prevent further occurrences.
Name of Student:
Phone:
Grade/Section:
Name of Teacher/Staff:
Teacher/Staff/Location:
Name of Principal:
School:
Check One:
Date of Incident:
Time:
Location:
Regular Education
504
Special Education
Time Code:
01 Before School on Grounds, 02 During Class, 03 Between Classes, 04 After Normal School Hours & Supervised,
05 To/From School, 06 At Bus Stop or Transfer Station, 07 During School Extracurricular/Assembly Event, 08
Recess, Club, Free Time, 09 Homeroom, 10 Breakfast/Lunch
Location Code:
01 Classroom, 02 Restroom, 03 Lunchroom, 04 Hallway, 05 Playground, 07 At Bus Stop or Transfer Station,
08 Parking Lot, 09 Locker Room, 10 Cell Phone, 11 Internet, 12 To or From School, 13 School Sponsored Event,
14 Home, 98 Offsite Program, 99 Other
INFRACTION/REASON CODES (Check all that apply)
01.
Willful disobedience
11.
02. Treats an authority with disrespect
03.
Makes an unfounded
12.
charge against authority
04.
Uses profane and/or
13.
obscene language
05. Commits immoral or vicious practices
06. Conduct or habits injurious to his/her associates
07.
Uses or possesses any
14.
controlled dangerous
substances governed by
the Uniform Controlled
Dangerous Substances
Law, in any form
08.
Uses or possesses
electronic vapor
products, tobacco,
lighter, or matches
15.
09.
alcoholic beverages
16.
10.
Disturbs the school or
habitually violates any rule
Cuts, defaces, or injures
17.
Violates traffic and
36.
Cyber Bullying
any part of public school
safety regulations
(*complete Bullying Form)
buildings/vandalism
18.
Leaves school premises
37.
False Alarm/Bomb Threat
Writes profane and/or
or classroom without
38.
Forgery
obscene language or
permission
39.
Gambling
draws obscene pictures
19.
Is habitually tardy and/
40.
Public Indecency
Possesses weapon (s) as
or absent
defined in Section 921 of
20.
Takes another’s property
41.
Obscene behavior or
Title 18 of the U.S. Code.
or possessions without
Possession of Obscene/
*Use of code 13 requires
Pornographic Material
additional submission of
21.
Commits any other
42.
Unauthorized use of
the Weapon Type code.
Possesses firearms (not
serious offense
Technology
30.
Discharge or use of
43.
Improper dress
prohibited by federal
law), knives, or other
weapon(s) prohibited by
44.
Academic dishonesty
implements, which may
federal law
45.
Trespassing Violation
be used as weapons,
31.
Possesses pocket knife
46.
Failure to Serve Assigned
the careless use of which
or blade cutter with a
might inflict harm or
blade length < 2 ½”
Consequence
injury (Excludes pocket
33.
Use of OTC medication
47.
Misusing Internet/
knives with a blade length
Violates electronic/
< 2 ½“ - refer to code 31).
in a manner other than
technology policy
prescribed or authorized
Throws missiles liable to
34.
Possession of Body Armor
48.
Sexual Harassment
injure others
49.
False Report
Instigates or participates
35.
Bullying/Harrassment
in fights while under
50.
Crime of Violence
school supervision
(per R.S. 14:2B)
REMARKS/DESCRIPTION OF INCIDENT:
(REVISED 6/20/2023)
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
(circle one) or other
cumulative behavioral referral(s). I have taken the following action(s):
011
Referred to Office
022
Therapeutic Removal
030
Restorative Practices Implemented
012
Referred to Counselor
025
Intervention Room
173
Conference with Parents or Guardians
013
Referred to Social Worker
080
Assigned Remedial Work
175
Conference with Principal
014
Referred to SBLC
120
Student Conference
999
Other Action
018
Secondary Referral (PBIS)
140
Student Reprimand
019
Tertiary Referral (PBIS)
160
Loss of Privileges
Contact Parent/Guardian? Y
N
Date:
Phone Call
Letter
Conference Date:
RECOMMENDATION(S) BY TEACHER OR OTHER SCHOOL EMPLOYEE:
Signature of School Employee:
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
000
No Action – only use if no
Referred to School Building Level
reportable action was taken
Committee (SBLC)
Student Conference Date:
001
Expulsion Recommendation
016
Court Referral Date:
002
Suspension Out of School
017
Enforcement Referral (Arrest
from
to
Resulted Y N)
Conference w/ Parents or
004
Suspension In School from
020
TOR (Time Out Room)
Guardians on:
006
Suspension Alternative Site
Conference w/ Principal on:
040
In School Detention from
180
Corporal Punishment (if checked,
043
After School Detention from
complete “Corporal Punishment”
Referral to Social Worker
045
Weekend Detention from
Incidence Checklist)
Other Action(s):
Perpetrator: Serious Bodily Injury
Y
Medical Treatment Y
N Victim: Serious Bodily Injury
Y N Medical Treatment
SIS Primary Infraction/Reason Code Entered:
Signature of Principal:
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
(excluding non-work days) of the time it was submitted to the principal.
**Attachments: Provide copies of all documents related to the behavior of the student named above and prepared by the employee submitting this referral.
Filling out the Louisiana School Behavior Report Form requires careful attention to detail to ensure accurate communication between school officials and parents or guardians about a specific behavior incident. This form captures information about the incident, the student involved, actions taken by school staff, and subsequent recommendations. It serves as an essential tool in addressing behaviors that may impact the safety, well-being, or educational environment for students. Below are the steps to complete this form.
Once the form is fully completed, it becomes a vital record for both the school and the student’s guardians, facilitating a cooperative approach to addressing behaviors and implementing strategies for improvement.
The Louisiana School Behavior Report Form “B” is designed to communicate detailed information between schools and parents or guardians about a specific behavioral incident involving a student. This incident could occur in multiple settings including the classroom, cafeteria, or during school-related activities. Alongside describing the incident, the form outlines the disciplinary actions that school officials have taken in response. Its ultimate aim is to ensure the safety and well-being of all students, prompting a discussion between parents and their children to prevent further issues.
Typically, the teacher or staff member who observes or becomes aware of the student's behavior will initiate the filling out of the form. After documenting the incident and the immediate actions taken, the form is then forwarded to the school administrator for further action and to determine next steps in regards to discipline. Both the referring employee and principal or administrator are required to sign the form, ensuring it's processed correctly and indicating official acknowledgment of the incident and chosen disciplinary responses.
The form covers a broad range of behaviors that would require notification of parents and potential disciplinary action by the school. These include, but are not limited to, possession or use of controlled substances, possession of weapons, acts of violence like assault, battery, or sexual battery, bullying, sexual harassment, vandalism, theft, trespassing, and more. It also allows for documentation of the behavior's motivation, related influences (such as drugs or alcohol), and whether there was any serious bodily injury or need for medical treatment.
The form allows for a variety of responses depending on the severity of the behavior and the student's disciplinary history. Actions include referrals to office staff, counselors, or social workers; therapeutic removal; intervention room assignment; loss of privileges; restorative practices; conferences with parents or guardians; and in severe cases, suspension or expulsion. The action taken aims to address the behavior effectively while considering the student’s overall welfare.
Upon filling the report, one of the required steps is to contact the parent or guardian of the involved student. This contact can occur through various means including phone calls, letters, or directly through a conference. The form specifies the need to record the date and time when parents were notified, ensuring that they are made aware of the incident and the school's response as soon as possible.
After completion, a copy of the Louisiana School Behavior Report Form “B” is distributed to the parent or guardian, included in the school's pupil file for record-keeping, and a copy is returned to the staff member who initiated the report. This process, which is expected to be completed within 48 hours (excluding non-work days) of submission to the principal, ensures that all relevant parties are informed and any necessary follow-up actions can be taken. Additionally, it may be accompanied by other documents such as a minor tracking form or a behavior intervention plan if applicable.
Filling out the Louisiana School Behavior Report form requires attention to detail. Often, mistakes can occur that might affect the accuracy of the reporting. Here are five common mistakes people make:
Incorrectly spelling the student's name or providing wrong information like phone number or grade/section. This basic information is crucial for identifying the student involved in the incident.
Omitting the location and time codes. Each incident location and time have specific codes. Forgetting to include these codes or using incorrect ones can lead to confusion about when and where the incident took place.
Not checking the appropriate boxes for type of education (Regular Education, 504, Special Education), related influences (e.g., Drugs, Alcohol, Gang, Bias), or primary incident/reason codes. These selections provide vital data for understanding the context and nature of the incident.
Failing to thoroughly describe the incident. The remarks/description section is where the incident should be detailed clearly and concisely. Vague descriptions can hinder proper understanding and follow-up.
Forgetting to sign and date the form. Signatures from the relevant school employee, and optionally from the student and parent/guardian, are necessary to validate the information provided.
Besides these errors, it's also essential to:
Check the correct action(s) taken by the teacher or other school employee, ensuring that all measures are accurately recorded.
Ensure the correct action(s) taken by the school administrator is marked, as this reflects the school's response to the incident.
Accurately record any recommendations by teachers or school employees for further action or interventions.
Make sure that all necessary follow-ups, such as contacting the parent or guardian, are noted with the respective dates and times.
By avoiding these common pitfalls, those filling out the form can help ensure a clear, accurate account of incidents, fostering better communication between schools and families, and contributing to a positive school environment.
When managing student behavior in Louisiana schools, the Louisiana School Behavior Report Form "B" plays a critical role. However, to ensure a comprehensive approach to student discipline and support, several additional documents and forms are often utilized alongside it. These documents help in providing a detailed context, follow-up actions, and support mechanisms for both students and school staff.
Together, these documents create a robust framework for addressing and managing student behavior effectively. They support a structured approach to discipline that focuses on accountability, improvement, and communication, ultimately fostering a safe and positive learning environment for all students.
The Louisiana School Behavior Report form is similar to several other documents used within educational and behavioral monitoring contexts. These documents, while serving unique functions, share common features in terms of structure, purpose, and information capture. Understanding these similarities can provide insights into the standard practices of behavioral documentation and intervention in educational settings.
Student Discipline Referral Forms: Much like the Louisiana School Behavior Report form, Student Discipline Referral Forms are utilized by educators to document incidents of student misconduct and the interventions that follow. Both documents aim to systematically record behavioral incidents to ensure that appropriate actions are taken and to inform parents or guardians of the situation. Furthermore, they both categorize the type of behavior observed, the location and time of the incident, and any disciplinary actions enforced. The key purpose of these forms is to improve communication between school officials and parents and to track the student's behavior over time to identify patterns or areas needing intervention.
Behavioral Incident Reports: Behavioral Incident Reports share a purposeful resemblance with the Louisiana School Behavior Report form. These reports are also detailed accounts of behavioral incidents that occur within the school setting or during school-related activities. Both documents include specific sections for capturing the nature of the incident, individuals involved, potential motivations behind the behavior, and the immediate response by school staff. Additionally, they both provide an area for remarks or descriptions of the incident, which is crucial for understanding the context and severity of the behavior. The primary function of these reports is to ensure a written record of significant incidents, facilitating an informed response from both educational and possibly legal perspectives.
Behavioral Intervention Plans (BIPs): Although Behavioral Intervention Plans are more prescriptive than the Louisiana School Behavior Report form, they are interconnected tools in the management and support of student behavior. While BIPs are typically developed as a response to documented patterns of behavior that require structured intervention, the identification of these patterns often relies on forms like the Louisiana School Behavior Report. Both documents share a focus on the student’s behavior, with the report form detailing incidents that may eventually necessitate the creation of a BIP. The BIP then outlines specific strategies, supports, and consequences to address the behaviors, guided by the insights gathered from the behavior report forms and other assessments. The synergy between recording incidents and developing intervention plans is foundational to effective behavioral management in schools.
When you're filling out the Louisiana School Behavior Report form, it's important to approach the task with care to ensure the document is accurate, clear, and comprehensive. Here are several do's and don'ts that will help guide you through the process:
Approaching the form with meticulous attention to detail ensures that the issue is well documented and the appropriate steps are taken for the benefit of the student and the school community.
When discussing the Louisiana School Behavior Report Form, several misconceptions commonly arise. Understanding the nuances of this document is essential for parents, guardians, and students alike. The following items aim to clarify these misunderstandings:
While the form does include options for reporting serious offenses, it also accommodates a wide range of behaviors. From minor disruptions to major infractions, the purpose of the form is comprehensive, aiming to document any behavior that impacts the student's own learning or the safety and well-being of others.
Contrary to this belief, various school officials including counselors, social workers, and even the principal have the authority to document incidents. The form is designed to capture a full spectrum of observations from all adults interacting with students in a professional capacity.
While disciplinary actions can be documented on the form, its primary purpose is informational. It serves to keep parents informed of incidents and encourages a collaborative approach between the school and home to address and prevent undesirable behaviors.
Behavior that occurs during school-related activities, regardless of location, can be reported using this form. This includes incidents on the way to and from school, at bus stops, or during any school-sponsored events, reflecting the school's role in students' safety and behavior outside its immediate premises.
Contacting the student's parent or guardian is a critical step in the process. Whether through phone calls, letters, or conferences, the form outlines specific sections for documenting the method and timing of parental communication, underscoring the importance of parent-school collaboration in addressing behavioral issues.
Actually, the form is often a starting point. Based on the documented incident and the actions taken by the school, further interventions—such as counseling, social work referrals, or special education assessments—may be initiated to address underlying issues contributing to the behavior.
The form is designed to be adaptable to a variety of situations. Not every section will be relevant for every incident. For example, codes related to the type of behavior, location, and time are specific and selected to match the details of the incident accurately.
Rather than being purely punitive, the process is intended to be corrective and educational. Documenting incidents on the form is a step towards understanding and addressing behavioral issues, aiming to assist students in making better choices and supporting their development into responsible individuals.
By clarifying these misconceptions, the goal is to foster a better understanding of the form's purpose and the process it initiates. This, in turn, can lead to more constructive and cooperative efforts between schools and families to support student growth and learning.
Understanding the Louisiana School Behavior Report Form is crucial for parents, guardians, and students to navigate school disciplinary processes effectively. Here are some main takeaways to keep in mind:
This understanding emphasizes the importance of the Louisiana School Behavior Report Form as a tool for communication between schools and families, aimed at fostering a supportive environment for addressing and correcting student behavior issues.
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