To be submitted to the Building Principal. Please print.
Substitute Teacher’s Name | ID # | |
School | Assignment | |
Classroom/Teacher’s Name | Date(s) of substitution |
Explanation of area(s) of concern:
Reported by: ☐ Student ☐ Staff ☐ Both
In the future, please do not assign this substitute to:
☐ Classroom/Teacher’s Name | ||||||||
☐ Grade Level | ||||||||
☐ Building | ||||||||
☐ Any Position | ||||||||
Reporter’s Name (printed) | ||||||||
Reporter’s Signature Date
Updated: July 1, 2026