Bully/Harassment Documentation Form
WISD prohibits bullying or harassment of any student as well as retaliation against any person who in good faith reports bullying or harassment or otherwise is involved in the complaint investigation process. (Policy Ref. FFI)
Bullying Type
Incident(s) that Led to Complaint (include specific details: name of accused student, specific threats, language, or actions, frequency of alleged conduct, location(s) of incident(s), prior complaints, injury, property damaged, etc.)
Your answer
Identify any persons (students or adults) who were involved in or may be witnessed to the alleged conduct
Your answer
Describe any physical confrontation/face off with accused students
Your answer
Does student have regular contact with accused student outside school?
Your answer
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