*If interested in purchasing this form, check out my Classroom Forms Bundle:
You will find this form and others for a discounted price!
This PDF contains a behavior worksheet for students to fill out when they break a classroom rule. It has the student identify the rule that was broken as well as describe how the learning of others may have been affected. The back of the WS gives you a place to document any further steps that may need to be made including meeting with the principal or calling home. Hope you find it helpful!