CONFIDENTIAL REPORT FORM


This form is to be used for reporting incidents of teasing, harassing, bullying, intimidating and/or threatening behavior. While this report is anonymous it is important that you find a trusted adult to speak with. An administrator, counselor, teacher or staff member is always willing to listen and provide support. Please answer all questions to the best of your ability. It is important to be accurate and provide as much detail as possible.
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