This is a one-page PDF form that keeps a record of student behavior in class. It will help teachers organize and maintain discipline files. Although schools normally have their own discipline referral forms, this form is specifically for the classroom teacher who would like to use a handy simplified form to check off a student's misbehavior and write quick comments, as well as to check off actions taken by the teacher, all in one page. I am a classroom teacher and sometimes ODR's (Office Discipline Referrals) don't record all the steps taken to address a student's behavior all in one page or form. This form can be used to show a teacher's record of the student behavior and the steps taken by the teacher to resolve the discipline problem.