Please use this form to report any bullying that you are seeing at home or at school.
Name of Student reporting the incident
You are not required to leave your name.
Name of Student who was doing the bullying
Name and grade level of Student who was being bullied
Where did this bullying happen?
Please explain what happened. If you are using this to report someone who is thinking of hurting themselves or you are thinking of hurting yourself, please contact a trusted adult or call 911.
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This form was created inside of DeKalb CUSD428.