This referral goes to the RTI team. It is not a special education referral and does not
start an IEP evaluation on its own. For an urgent safety concern, speak to a school leader
directly rather than submitting a form.
Student
Start typing a name and pick from the list, so the flag links to the right record.
You
So the RTI team knows who to follow up with.
The concern
Be concrete. What you have seen, and roughly how often.