Anonymous Bullying Report Form
Please complete this form to report a bullying incident. The report will be sent anonymously to the Burkburnett ISD Intervention Team.

Bullying is defined as engaging in written or verbal expression or physical conduct that a school district board of trustees or the board's designee determines: will have the effect of physically harming a student, damaging a student's property, or placing a student in reasonable fear of harm to the student's person or damage to the student's property; or is sufficiently severe, persistent, or pervasive enough that the action or threat creates an intimidating, threatening, or abusive educational environment for a student.

Harassment is defined as threatening to cause harm or bodily injury to another student, engaging in sexually intimidating conduct, causing physical damage to the property of another student, subjecting another student to physical confinement or restraint, or maliciously taking any action that harms another student's physical or emotional health or safety.

What school did the incident happen at? *
What is your involvement with the incident? *
Date of incident *
MM
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DD
/
YYYY
Time of incident *
Time
:
Description of incident *
Describe the situation involving bullying. Include location, names of students involved, and any other details you deem helpful.
Your answer
Name Of Person Providing Report (Optional)
Your answer
Submit
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This form was created inside of Burkburnett ISD.