This is a small form to fill out when students make poor choices. I use this as documentation before I make an office referral. Depending on the poor choice, I might send the slip home for a parent signature. I keep everything on file. My principal loved this idea because it is a clear cut way to ensure I am dotting all my "i" before I call home or send them to the office. Of course, this is only used if all PBIS strategies have been used prior. My colleagues have the student fill them out as a reflection form as well!