Governor Phil Murphy • Lt.Governor Sheila Oliver
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Suicide Reporting Form
Suicide Reporting Form
NJ-DCF Suicide Reporting Form
Incident Date:
County (where youth resides):
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Atlantic
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School District of youth involved in incident (select "Private School" if not applicable):
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PRIVATE SCHOOL
Absecon Public Schools District
Academy Charter High School
Academy for Urban Leadership Charter School
Alexandria Township School District
Allamuchy Township School District
Allendale Public School District
Allenhurst
Alloway Township School District
Alpha Borough School District
Alpine Elementary School District
Andover Regional School District
Area Vocational Technical Schools of Mercer County
Asbury Park School District
Atlantic City Community Charter School
Atlantic City Public Schools
Atlantic County Special Services School District
Atlantic County Vocational School District
Atlantic Highlands School District
Audubon Public School Disrict
Avalon School District
Avon Boro School District
Barnegat Township School District
Barrington School District
Bass River Township Board of Education
Bay Head Borough School District
Bayonne School District
Bayshore Jointure Commission
Beach Haven School District
Bedminster Township Public School
Belleville Public SchoolS
Bellmawr Public School District
Belmar Elementary School District
Beloved Community Charter School
Belvidere School District
Benjamin Banneker Preparatory Charter School
Bergen Arts and Sciences Charter School
Bergen County Special Services School District
Bergen County Vocational Technical School District
Bergenfield Borough School District
Berkeley Heights School District
Berkeley Township School District
Berlin Borough School District
Berlin Township School District
Bernards Township School District
Bethlehem Township School District
Beverly City School
Black Horse Pike Regional School District
Blairstown Elementary Township School District
Bloomfield Board of Education
Bloomingdale School District
Bloomsbury School District
Bogota Public School District
Boonton Town School District
Boonton Township School District
Bordentown Regional School District
Bound Brook School District
Bradley Beach Elementary School District
Branchburg Township School District
Brick Township Public School District
Bridgeton City School District
Bridgewater-Raritan Regional School District
Brielle Boro School District
Brigantine Public Schools
Brooklawn Public School District
Buena Regional School District
Burch Charter School of Excellence
Burlington City Public School District
Burlington County Institute of Technology
Burlington County Special Services School District
Burlington Township Board of Education
Butler Public School District
Byram Township School District
Caldwell-West Caldwell School District
Califon Borough School District
Camden Academy Charter High School
Camden City Public SchoolS
Camden Community Charter School
Camden County Educational Services Commission
Camden County Technical School District
Camdens Pride Charter School
Camden's Promise Charter School
Cape May City School District
Cape May County Special Services School District
Cape May County Technical High School District
Cape May Point School District
Carlstadt Public School District
Carlstadt-East Rutherford Regional High School District
Carteret Public School District
Cedar Grove Township School District
Central Jersey Arts Charter School
Central Jersey College Prep Charter School
Central Regional School District
Charter Tech High School for the Performing Arts
Cherry Hill School District
Chesilhurst Board of Education
Chester School District
Chesterfield Township School District
Cinnaminson Township Public SchoolS
Clark Township Public Schools
Classical Academy Charter School
Clayton Public School District
Clearview Regional High School District
Clementon Elementary School District
Cliffside Park School District
Clifton Public School District
Clinton Township School District
Clinton-Glen Gardner School District
Closter Public School District
Collingswood Public School District
Colts Neck Township School District
Commercial Township School District
Community Charter School of Paterson
Compass Academy Charter School
Corbin City School District
Cranbury Township School District
Cranford Public School District
Cresskill Public School District
Cumberland County Board of Vocation ED School District
Cumberland Regional School District
DCF Regional School
Deal Boro School District
Deerfield Township School District
Delanco Township School District
Delaware Township School District
Delaware Valley Regional High School District
Delran Township School District
Delsea Regional High School District
Demarest School District
Dennis Township School District
Denville Township K-8 School District
Deptford Township Public School District
Discovery Charter School
Dover Public School District
Downe Township School District
Dr Lena Edwards Academic Charter School
Dumont Public School District
Dunellen Public School District
Eagleswood Township School District
East Amwell Township School District
East Brunswick Township School District
East Greenwich Township School District
East Hanover Township School District
East Newark School District
East Orange Community Charter School
East Orange School District
East Rutherford School District
East Windsor Regional School District
Eastampton Township School District
Eastern Camden County Regional School District
Eatontown Public School District
Edgewater Park Township School District
Edgewater School District
Edison Township School District
Educational Information and Resource Center
Educational Services Commission of Morris County
Egg Harbor City School District
Egg Harbor Township School District
Elizabeth Public Schools
Elk Township School District
Elmer Borough School District
Elmwood Park School District
Elsinboro Township School District
Elysian Charter School
Emerson Public School District
Englewood Cliffs School District
Englewood on the Palisades Charter School
Englewood Public School District
Environment Community Opportunity (Eco) Charter School
Essex County Vocational Technical Schools
Essex Fells School District
Essex Regional EducationAL Services Commission
Estell Manor City School District
Evesham Township School District
Ewing Township School District
Fair Haven School District
Fair Lawn Public School District
Fairfield Public Schools
Fairfield Township School District
Fairview Public School District
Farmingdale Public School District
Flemington-Raritan Regional School District
Florence Township School District
Florham Park Public SchoolS
Folsom Borough School District
Fort Lee School District
Foundation Academy Charter School
Frankford Township Consolidated School District
Franklin Borough School District
Franklin Lakes School District
Franklin Township Public School District
Franklin Township School District
Franklin Township School District
Fredon Township School District
Freedom Prep Charter School
Freehold Borough School District
Freehold Regional High School District
Freehold Township School District
Frelinghuysen Township School District
Frenchtown Borough School District
GAlloway Township Public SchoolS
Garfield Public School District
Garwood Boro
Gateway Regional School District
Gibbsboro Elementary School
Glassboro School District
Glen Ridge Public Schools
Glen Rock Public School District
Gloucester City Public School District
Gloucester County Special Services School District
Gloucester County Vocational-Technical School District
Gloucester Township School District
Great Futures Charter School
Great Meadows Regional School District
Great Oaks Charter School
Greater Brunswick Charter School
Greater Egg Harbor Regional High School District
Green Brook Township Public School District
Green Township School District
Greenwich Township School District
Greenwich Township School District
Greenwich Township School District
Guttenberg School District
Hackensack School District
Hackettstown Public School District
Haddon Heights School District
Haddon Township School District
Haddonfield School District
Hainesport Township School District
Haledon Public School District
Hamburg School District
Hamilton Township Public School District
Hamilton Township School District
Hammonton School District
Hampton Borough School District
Hampton Township School District
Hanover Park Regional High School District
Hanover Township School District
Harding Township School District
Hardyston Township School District
Harmony Township School District
Harrington Park School District
Harrison Public Schools
Harrison Township School District
Hasbrouck Heights School District
Hatikvah International Charter School
Haworth Public School District
Hawthorne Public School District
Hazlet Township Public School District
Henry Hudson Regional School District
Hi Nella
High Bridge Borough School District
High Point Regional High School District
Highland Park Boro School District
Highlands Borough School District
Hillsborough Township Public School District
Hillsdale School District
Hillside Board of Education
Hoboken Charter School
Hoboken Dual Language Charter School
Hoboken Public School District
Ho-Ho-Kus School District
Holland Township School District
Holmdel Township School District
Hopatcong Borough School District
Hope Academy Charter School
Hope Community Cs
Hope Township School District
Hopewell Township School District
Hopewell Valley Regional School District
Howell Township Public School District
Hudson County Schools of Technology School District
Hunterdon Central Regional High School District
Hunterdon County Educational Services Commission
Hunterdon County Vocational School District
Interlaken School District
International Academy of Trenton Charter School
International Charter School
Irvington Board Of Education
Island Heights School District
Jackson Township School District
Jamesburg Public School District
Jefferson Township Public School District
Jersey City Community Charter School
Jersey City Global Cs
Jersey City Golden Door Charter School
Jersey City School District
Jjc School District
John P. Holland Charter School
Keansburg School District
Kearny
Kenilworth School District
Keyport School District
Kingsway Regional School District
Kingwood Township School District
Kinnelon School District
Kipp Cooper Norcross Academy at Lanning Square
Kittatinny Regional School District
Knowledge A to Z Charter School
Knowlton Township School District
Lacey Township School District
Lady Liberty Academy Charter School
Lafayette Township School District
Lake Como School District
Lakehurst School District
Lakeland Regional High School District
Lakewood Township School District
Laurel Springs School District
Lavallette Borough School District
Lawnside School Distric
Lawrence Township Public School District
Lawrence Township School District
Leap Academy University Charter School
Learning Community Charter School
Lebanon Borough School District
Lebanon Township School District
Lenape Regional High School District
Lenape Valley Regional High School District
Leonia Public School District
Lincoln Park School District
Linden Public School District
Lindenwold Public School District
Link Community Charter School
Linwood City School District
Little Egg Harbor Township School District
Little Falls Township Public School District
Little Ferry Public School District
Little Silver Boro School District
Livingston Board of Education School District
Lodi School District
Logan Township School District
Long Beach Island Consolidated School District
Long Branch Public School District
Long Hill Township School District
Longport Board of Education
Lopatcong Township School District
Lower Cape May Regional School District
Lower Township Elementary School District
Lumberton Township Board of Education
Lyndhurst School District
M.E.T.S. Charter School
Madison Public School District
Magnolia School District
Mahwah Township Public School District
Mainland Regional High School District
Manalapan-Englishtown Regional Schools School District
Manasquan School District
Manchester Township School District
Mannington Township School District
Mansfield Township Elementary School District
Mansfield Township School District
Mantua Township School District
Manville Board of Education
Maple Shade School District
Margate City School District
Maria Varisco Rogers Charter School
Marion P. Thomas Charter School
Marlboro Township School District
Mastery Schools of Camden
Matawan-Aberdeen Regional School District
Maurice River Township School District
Maywood School District
Medford Lakes School District
Medford Township School District
Mendham Borough School District
Mendham Township School District
Mercer County Special Services School District
Merchantville School District
Merit Preparatory Charter School of Newark
Metuchen Public School District
Middle Township Public School District
Middlesex Borough School District
Middlesex County Vocational and Technical School District
Middlesex Regional Educational Services Commission
Middletown Township Public School District
Midland Park School District
Milford Borough School District
Millburn Township Schools
Millstone Township School District
Milltown School District
Millville School District
Millville Public Charter School
Mine Hill Township School District
Monmouth Beach Elementary School District
Monmouth County Vocational School District
Monmouth Regional High School District
Monmouth-Ocean Educational Services Commission
Monroe Township Public School District
Monroe Township School District
Montague Township School District
Montclair Public Schools
Montgomery Township School District
Montvale Board of Education School District
Montville Township School District
Moonachie School District
Moorestown Township Public School District
Morris County Vocational School District
Morris Hills Regional School District
Morris Plains School District
Morris School District
Morris-Union Jointure Commisson School District
Mount Arlington Public School District
Mount Holly Township Public School District
Mount Laurel Township School District
Mount Olive Township School District
Mountain Lakes Public School District
Mountainside School District
Mt. Ephraim School District
Mullica Township School District
National Park Boro School District
Neptune City School District
Neptune Township School District
Netcong School District
New Brunswick School District
New Hanover Township
New Horizons Community Charter School
New Milford Public School District
New Providence Board of Education
Newark Educators Community Charter School
Newark Legacy Charter School
Newark Prep Charter School
Newark Public School District
Newfield Boro School District
Newton Public School District
North Arlington School District
North Bergen School District
North Brunswick Township School District
North Caldwell School District
North Haledon School District
North Hanover Township School District
North Hunterdon-Voorhees Regional High School District
North Plainfield School District
North Star Academy Charter School
North Warren Regional School District
North Wildwood School District
Northern Burlington County Regional School District
Northern Highlands Regional High School District
Northern Valley Regional High School District
Northfield City School District
Northvale Public School District
Norwood Public School District
Nutley Public School District
Oakland Public School District
Oaklyn Public School District
Ocean City School District
Ocean County Vocational Technical School School District
Ocean Gate School District
Ocean Township School District
Oceanport School District
Ogdensburg Borough School District
Old Bridge Township School District
Old Tappan Public School District
Oldmans Township School District
Oradell School District
Orange Board Of Education
Oxford Township School District
Pace Charter School of Hamilton
Palisades Park School District
Palmyra Public School District
Paramus Public School District
Park Ridge School District
Parsippany-Troy Hills Township School District
Pascack Valley Regional High School District
Passaic Arts and Science Charter School
Passaic City School District
Passaic County Educational Services Commission
Passaic County Manchester Regional High School District
Passaic Valley Regional High School District #1
Passsaic County Vocational School District
Paterson Arts and Science Charter School
Paterson Charter School for Science/Technology
Paterson Public School District
Paul Robeson Charter School for the Humanities
Paulo Freire Charter School
Paulsboro School District
Pemberton Township Schools
Penns Grove-Carneys Point Regional School District
Pennsauken Township Board Of Education School District
Pennsville Public School District
Peoples Preparatory Charter School
Pequannock Township School District
Perth Amboy Public School District
Phillip's Academy Charter School
Phillipsburg School District
Pine Hill School District
Pine Valley
Pinelands Regional School District
Piscataway Township School District
Pitman Boro School District
Pittsgrove Township School District
Plainfield Public Schools
Pleasantville Public School District
Plumsted Township School District
Pohatcong Township School District
Point Pleasant Beach School District
Point Pleasant Borough School District
Pompton Lakes School District
Port Republic School District
Pride Academy Charter School
Princeton Charter School
Princeton Public Schools
Prospect Park Public School District
Quinton Township School District
Rahway Public School District
Ramapo Indian Hills Regional High School District
Ramsey School District
Rancocas Valley Regional High School District
Randolph Township School District
Readington Township School District
Red Bank Borough Public School District
Red Bank Charter School
Red Bank Regional School District
Ridge and Valley Charter School
Ridgefield Park School District
Ridgefield School District
Ridgewood Public School District
Ringwood School District
River Dell Regional School District
River Edge School District
River Vale Public School District
Riverbank Charter School of Excellence
Riverdale School District
Riverside Township School District
Riverton School District
Robbinsville Public Schools
Robert Treat Academy Charter School
Rochelle Park School District
Rockaway Borough School District
Rockaway Township School District
Rockleigh School District
Roosevelt Public School District
Roseland School District
Roselle Park Board of Education
Roselle Public SchoolS
Roseville Community Charter School
Roxbury Township School District
Rumson Borough School District
Rumson-Fair Haven Regional High School School District
Runnemede Public School District
Rutherford School District
Saddle Brook School District
Saddle River School District
Salem City School District
Salem County Special Services School District
Salem County Vocational Technical School District
Sandyston-Walpack Consolidated School District
Sayreville School District
Scotch Plains-Fanwood School District
Sea Girt Borough School District
Seaside Heights School District
Seaside Park Borough School District
Secaucus Board Of Education
Shamong Township School District
Shore Regional High School District
Shrewsbury Borough School District
Soaring Heights
Somerdale School District
Somers Point School District
Somerset County Educational Services Commission
Somerset County Vocational And Technical SchoolS
Somerset Hills Regional School District
Somerville Public School District
South Bergen Jointure Commission School District
South Amboy School District
South Bound Brook Public Schools
South Brunswick School District
South Hackensack School District
South Harrison Township School District
South Hunterdon Regional School District
South Orange-Maplewood School District
South Plainfield School District
South River Public School District
Southampton Township School District
Southern Regional School District
Sparta Township Public School District
Spotswood Public School District
Spring Lake Borough
Spring Lake Heights School District
Springfield Public School District
Springfield Township School District
Stafford Township School District
Stanhope School District
Sterling Regional School District
Stillwater Township School District
Stone Harbor School District
Stow Creek Township School District
Stratford School District
Summit Public School District
Sussex County EducationAL Services Commission School Distric
Sussex County Technical School District
Sussex County Technology Charter School
Sussex-Wantage Regional School District
Swedesboro-Woolwich School District
Tabernacle Township School District
Team Academy Charter School
Teaneck Community Charter School
Teaneck School District
Tenafly Public School District
Teterboro
Tewksbury Township School District
The Barack Obama Green Charter High School
The Ethical Community Charter School
The Gray Charter School
The Kingdom Charter School of Leadership
The Lower AllowayS Creek School District
The Queen City Academy Charter School
The School District of the Chathams
The Village Charter School
Thomas Edison EnergySmart Charter School
Tinton Falls School District
Toms River Regional School District
Totowa Public School District
Township of Franklin School District
Township of Ocean School District
Township of Union Public Schools
Trenton Public School District
Trenton Stem-to-Civics Charter School
Tuckerton Borough School District
Uncommon Schools Camden Prep
Union Beach Public School District
Union City School District
Union County Educational Services Commission
Union County Teams Charter School
Union County Vocational-Technical School District
Union Township School District
Unity Charter School
University Academy Charter High School
University Heights Charter School
Upper Deerfield Township School District
Upper Freehold Regional School District
Upper Pittsgrove Township Scool District
Upper Saddle River School District
Upper Township School District
Ventnor City School District
Vernon Township School District
Verona Public School District
Vineland Public Charter School
Vineland Public School District
Voorhees Township School District
Waldwick School District
Wall Township Public School District
Wallington Boro School District
Wallkill Valley Regional High School District
Wanaque School District
Warren County Special Services School District
Warren County Technical School District
Warren Hills Regional School District
Warren Township School District
Washington Borough School District
Washington Township School District
Washington Township School District
Washington Township School District
Washington Township School District
Watchung Borough Public School District
Watchung Hills Regional High School District
Waterford Township School District
Wayne Township Public School District
Weehawken Public School District
Wenonah Boro School District
West Cape May Elementary School District
West Deptford Township School District
West Essex Regional School District
West Long Branch School District
West Milford Township Public School District
West Morris Regional High School District
West New York Board Of Education
West Orange Public Schools
West Wildwood School District
West Windsor-Plainsboro Regional School District
Westampton Township Public School District
Westfield Public School District
Westville Boro Public School District
Westwood Regional School District
Weymouth Township School District
Wharton Borough School District
White Township Consolidated School District
Wildwood City School District
Wildwood Crest Borough School District
Willingboro Public School District
Winfield Township
Winslow Township School District
Woodbine School District
Woodbridge Township School District
Woodbury City Public School District
Woodbury Heights Public School District
Woodcliff Lake School District
Woodland Park School District
Woodland Township Board of Education
Woodlynne School District
Wood-Ridge School District
Woodstown-Pilesgrove Regional School District
Wyckoff Township Public School District
Affiliation of reporter of incident:
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Law Enforcement
Medical Professional
Mental Health Professional
Parent/Caregiver
School Staff
State, County or Local Official
Other
Reporting Agency/Organization/School:
School Grade of youth involved in incident:
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High School
Middle School
Elementary School
Location of Incident:
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In Community
Medical
School
Unknown
Type of Incident:
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Suicide Attempt
Suicide Completion
