Office Discipline Referral Form

The Office Discipline Referral Form is a PBIS tool for practitioners and school teams that record office-level behavior incidents. It helps them capture who was involved, what happened, and where or when it occurred using consistent fields so the PBIS team can review patterns over time.

PBISLogAssessmentProgress reviewProblem behaviorChildrenAdolescents

Enter a sample referral, resolve validation prompts, and view the resulting incident table.

Interested in using Office Discipline Referral (ODR) Form with clients? Request access now.

Tool guide

Learn more about this tool

Use this background section to understand when the tool fits, how practitioners use it, and what to consider before sharing it with clients.

What It Captures

The form captures consistent incident fields sufficient to distinguish who was involved, what happened, and where or when the incident occurred.

How Review Works

Submitted records can be filtered, grouped, and counted by supported dimensions such as student, behavior category, time, and setting.

Important Limits

The tool does not determine consequences, diagnose students, infer behavior function, or select supports automatically.

Does the form decide what consequence should happen?

No. It captures and organizes referral data; practitioner and team decisions remain outside the form.

Can incomplete referrals be saved?

Yes. Incomplete referrals can remain drafts and are excluded from aggregates or clearly marked until required standardized fields are complete.

Can categories change over time?

Yes. Category changes can be configured, but historical labels or mappings must be preserved so trends are not misleading.

What happens to sample referrals in the demo?

Sample referrals are not saved as real student records when the tool is added to an account.