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)
Your answer
Name of Person Being Bullied *
Your answer
Name of Offender (if known) *
If not known, just put "Unknown".
Your answer
Date of Incident *
Your answer
Location of Incident *
Statement describing the Incident, including names of witness (if known) *
Your answer
Submit
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