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FCPS Bullying Incident Report Form
FCPS is compelled to keeping our students safe.Before you report: What is bullying?   “any aggressive and unwanted behavior that is intended to harm, intimidate, or humiliate the victim; involves a real or perceived power imbalance between the aggressor or aggressors and victim; and is repeated over time or causes severe emotional trauma."
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Your Name (Not Required):
Please tell us who you are: *
If Other:
Location (School): *
Victim's Name: *
Bully's Name (If known):
Describe what happened and where: *
When did this happen? *
MM
/
DD
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YYYY
What time of day did this happen? *
Time
:
Has this happened before? *
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