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Bullying Report Form

 
Please use the form below to report incidents of bullying, sexual harassment, suicidal thoughts or threats that have not already been reported to your school.

The more information that you provide, the better we will be able to assist you. You may report this incident anonymously if you wish, but we do need to know to whom it happened to if not yourself, where and when the incident took place (we need both date and time if possible) in order for us to investigate the situation properly.


  • Information

    Name

    Date of Incident

    Time of Incident

    AM/PM

  • Location of Incident (Example: Break Room, Classroom, Hallway, on the bus to the center.)
  • Describe what happened. (Please be as detailed and precise as possible.)