Liberty Elementary School Incident Report/ Informe de Incidentes de la Escuela Primaria Liberty
Use this form anonymously to report an incident or bullying situation/
Utilice este formulario anónimamente para reportar un incidente o situación de intimidación
Email address *
Involved Student's Name/Nombre del Estudiante Involucrado *
Your answer
If name is unknown, please give a brief description of who the person is/Si el nombre es desconocido, por favor dé una breve descripción de quién es la persona
Your answer
Are there any other people to report?/¿Hay alguna otra persona que reportar? *
Names of others involved/Nombres de otros involucrados
Your answer
Victim's Name/Nombre de la víctima *
Your answer
What is your relationship with the victim?/¿Cuál es su relación con la víctima? *
Please describe the incident and where it happened/Describa el incidente y dónde ocurrió *
Your answer
Witness Name(s)/Nombre (s) de testigo(s)
Your answer
If you would like to provide your name, please feel free to do so, but it is not required/Si desea dar su nombre, no dude en hacerlo, pero no es necesario
Your answer
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