Morrison Elementary Schools Incident Report
Bullying and/or Intimidation is defined as: Repeated intentional behavior by an individual with power over the victim or victims. Such behavior may include, physical, verbal, written or electronic communication or conduct of a belittling or browbeating nature.
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Your Name *
(This is a required question and will be kept confidential)
Contact info (home phone/cell/email/homeroom *
Name of adult(s) you've already contacted
(if any)
Name of Accused *
(Again this is confidential)
Please check the box that best describes what the accused did. Please choose all that apply.
Description of current incident. *
If I were watching it on a video, what exactly would I see?
Where did the incident happen? *
If you marked other on the previous question please explain below.
Any previous incidents
(Again, please be as specific as possible)
Please list any witness if there were any.
How did you respond to the incident?
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