Report an Incident of Bullying or Harassment
Byron Public Schools

The Byron Public School District is dedicated to ensuring a safe and supportive learning environment for all students. We recognize that in any school, the potential exists for bullying to occur. The Safe and Supportive Schools Act which requires school districts to adopt a bullying policy, along with informing parents annually of this new adopted policy.

“Bullying” means intimidating, threatening, abusive, or harming conduct that is
objectively offensive and:

1. an actual or perceived imbalance of power exists between the student engaging in the prohibited conduct and the target of the prohibited conduct, and the conduct is repeated or forms a pattern; or

2. materially and substantially interferes with a student’s educational opportunities or performance or ability to participate in school functions or activities or receive school benefits, services, or privileges.


Establishing a community reporting system is apart of the policy.


This form provides you the opportunity to share with us information that may need to be investigated for additional action. If you have any further questions please contact a building principal or district administrator for further assistance.

This tipline is not intended to report crisis or emergencies. If there is a crisis or a matter that needs immediate attention, please contact the school directly at 775-2383. If reporting after hours or on weekends please call 911.

School/Site (REQUIRED) *
Victim Name/s (REQUIRED) *
Your answer
Name of Person Reporting (REQUIRED) *
Your answer
Relationship to person reporting to victim
Phone number of person reporting
Your answer
Accused Bully Name/s OR a description of bully (if name is unknown)
Your answer
Location of Incident
Your answer
Date and time of incident
Your answer
Describe what happened in as much detail as possible. (REQUIRED) *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Byron Public Schools. Report Abuse - Terms of Service