PAYCheck Program

Protecting Arkansas’s Youth

The child(ren) referenced below was/were possibly impacted by a traumatic event and could exhibit academic, emotional and/or behavioral problems as a result of the exposure. Please “PAY” special attention to him/her and “CHECK” on him/her often.

NOTE: When you press “Submit” below, an email will be sent to the Reporter’s email address, the email address of the School Staff receiving the form, along with the email address and name of the SRO to receive the message.