Office Discipline Referral: Form Template and Major/Minor Definitions
An office discipline referral form is two things at once: a request for help from a teacher who has run out of options, and the raw data behind every equity report the district will publish. Most forms serve neither purpose, because the categories are vague enough that the same behaviour is filed three different ways by three teachers.
| Behaviour | Classification | Handled by | Office referral | Family contact |
|---|---|---|---|---|
| Off-task, talking, out of seat | Minor | Teacher | No | If repeated |
| Phone use after two requests | Minor | Teacher | No | If repeated |
| Refusal to follow a direction | Minor, escalating | Teacher, then team | Third instance | Yes |
| Profanity directed at a peer | Minor | Teacher | No | If repeated |
| Profanity directed at staff | Major | Administrator | Yes | Same day |
| Leaving class without permission | Major | Administrator | Yes | Same day |
| Physical aggression toward a peer | Major | Administrator | Yes | Same day |
| Property damage over [$ THRESHOLD] | Major | Administrator | Yes | Same day |
| Threat toward any person | Major, immediate | Administrator + threat team | Yes | Immediately |
| Prohibited substance or device | Major | Administrator | Yes | Same day |
| Dress code | Minor | Teacher or office, no removal | No | If repeated |
| Tardy | Minor, attendance track | Attendance office | No | Attendance letter |
Two rows do most of the work in reducing referral volume. Dress code and tardies belong in the attendance and dress-code tracks respectively, not in the discipline pipeline, and moving them out typically removes a large share of referrals at a stroke. The other high-leverage decision is defining “refusal” as escalating rather than binary — a referral on the first refusal removes the teacher’s own repertoire from the equation and produces a referral pattern that looks like a student problem when it is a support problem.
The form
Twelve fields, one side of paper or one screen. Longer forms produce shorter answers.
- Student, grade, date, time.
- Referring staff member and role.
- Location — from a fixed list, because free text destroys the analysis.
- Behaviour — one primary category from a fixed list, with the definitions printed on the form itself.
- Description — two or three observable sentences with a direct quotation.
- Antecedent — from a fixed list, plus free text. What was happening immediately before.
- Possible motivation — from a fixed list: obtain attention, obtain an item, avoid a task, avoid a person, unclear. Guessing is fine here; the aggregate is what matters.
- What the teacher already tried, from a fixed list. This field turns a complaint into a request for support and changes how the office responds.
- Others involved.
- IEP, 504 or behaviour plan flag, and whether the plan was followed.
- Family contacted by the teacher? Yes with date, or no.
- Administrator section: action taken, consequence, family contact with channel and outcome, date closed.
Fields six through eight are what separate a referral system that generates interventions from one that generates suspensions. Without them, the office sees an event; with them, it sees a pattern with a function.
Definitions on the form, not in a binder
The most common cause of unusable discipline data is that categories are undefined, so “disruption” means one thing to a first-year teacher and another to a twenty-year veteran, and the difference shows up in a state report as a disparity.
Print one-line definitions on the form itself. For example: Defiance — refusal to follow a direction after it has been given twice, with a stated choice offered. Disruption — behaviour that stops instruction for the class, not behaviour that requires redirection. Physical aggression — physical contact intended to harm; distinguish from rough play and from contact during a separation. Harassment — conduct based on a protected characteristic; this triggers a separate policy route, not an ordinary referral.
Then calibrate. Once a term, take ten anonymised scenarios to a staff meeting and have everybody classify them independently. Where the answers scatter, the definition needs work. Districts that do this see referral rates converge across teachers within a year, and the equity data becomes worth reading.
What the office does with it
Three responses, and the referral form should make the choice easy.
Consequence and return. Appropriate for a genuine major with no pattern. Includes same-day family contact and a note back to the referring teacher, which is the courtesy most often skipped and the one that determines whether teachers keep filling the form in properly.
Support and return. Where the pattern in fields six through eight suggests a function — task avoidance in one subject, a peer conflict at one time of day — the response is a change in conditions rather than a consequence, and the teacher needs to be told what changed and why.
Escalate. Where the count is climbing, the team convenes. A useful hard rule: at the fourth referral in a term, or the second involving physical contact, or any referral for a student with an IEP where the plan was not followed, a meeting happens rather than another consequence.
Feed the aggregate back to staff monthly: referrals by location, by time of day, by category, by referring staff member, and by student group. The two findings that recur everywhere are that most referrals come from a small number of classrooms, and that a large share cluster in unstructured time in one or two locations. Both are fixable without touching a single student’s file.
Family contact after a referral
A referral that does not produce contact with the family produces nothing. Three practices.
Same day for majors, before the student gets home. A family hearing it from the school first responds differently from a family hearing it from their child.
A short factual message, then a call. The message says who is calling and why; the call does the work. Kastr sends SMS, email and voice, with terminal SMS failures failing over to voice and row-level idempotency so a retry does not call twice. Selecting a student expands to that student’s guardians.
Balance the ledger. A school where the only contact families receive is a referral call has a communications problem, not a discipline problem. Track the ratio of positive to corrective contacts per student; anything worse than one to one for the students who receive the most referrals is worth fixing directly.
What Kastr will not do: no rule fires a message when a referral is entered, there is no SIS or behaviour-system connector, and there is no grade, class or school targeting — audiences resolve to specific people or everyone. Referral follow-up is composed by a person and sent to a named list. Cost-and-reach preview shows what it will cost before it goes.
Questions people actually ask
What is the difference between a major and a minor behaviour?
A minor is handled by the classroom teacher with their own repertoire and is logged rather than referred; a major requires an administrator because of safety, the level of consequence available, or a policy route such as harassment. The line has to be written down with one-line definitions and calibrated with staff at least once a term, otherwise the same behaviour is classified differently by different teachers and your discipline data is not comparable across classrooms.
What fields should an office discipline referral form include?
Student and staff identification, date, time, a location from a fixed list, one primary behaviour category from a defined list, a short observable description with a quotation, the antecedent, the possible function of the behaviour, what the teacher already tried, others involved, whether an IEP, 504 or behaviour plan applies and whether it was followed, and an administrator section recording the action, the family contact and the date closed.
How do we reduce office discipline referrals without ignoring behaviour?
Start with the two structural moves: take tardies into the attendance track and dress code out of the discipline pipeline entirely, which removes a large share of referrals immediately. Then look at the aggregate by location and time of day, because unstructured time in one or two places usually accounts for a disproportionate share. Then support the small number of classrooms generating the most referrals, which is a coaching question rather than a student question.
Should the referring teacher be told what happened?
Yes, every time, and this is the most commonly skipped step in the whole process. A teacher who submits referrals into silence stops submitting them accurately, and the data degrades. A two-line note back — what was decided, whether the family was contacted, what to do if it recurs — costs a minute and keeps the system honest.
Does a referral require family contact?
For anything classified major, contact the same day and before the student reaches home. For minors, contact after a pattern rather than each instance. Record who was contacted, by what channel and with what outcome — ‘parent notified’ is not a record. A delivery record that shows the channel, the timestamp and the actual outcome is what answers the question three months later.
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