Bullying Anonymous Reporting Form
If you have information regarding bullying and would like to report this information anonymously, please fill out the following form to the best of your knowledge. Please note that this form is completely anonymous. (For the purpose of this form, bullying encompasses bullying, harassment, and discrimination including electronic acts.)
Victim Name, Sex, Age
Your answer
Accused Name, Sex, Age
Your answer
School
Where did the incident occur?
Your answer
When did the incident occur?
Your answer
Please describe, in as much detail as possible, what happened.
Your answer
Do you know any of the witnesses involved? If so, please provide as much detail as possible about these people.
Your answer
List evidence of bullying if any (i.e. letters, photos, etc.)
Your answer
Thank you, this report will be followed up. If you fear a student is in IMMEDIATE danger, contact the police immediately!
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