Hurricane Intermediate School Incident Report for District Policy 3510 “Bullying and Hazing”
The purpose of this Form is to report all types of bullying and hazing by and against students and employees of the Washington County School District.
To report violations anonymously...
• Call __635-8931
Name of Complaining Party
(Use this if you were a witness to Bullying)
Name of Person Being Bullied
Name of Offender (if known)
If not known, just put "Unknown".
Date of Incident
Location of Incident
Statement describing the Incident, including names of witness (if known)
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