Bullying Incident Report
This form is to be used to report bullying within the Mansfield School District. The report will be reviewed by Mansfield School administration with appropriate action to follow. If the student is in immediate risk of harm, please call 911.
* Required
Today's Date
*
MM
/
DD
/
YYYY
Reported By
*
Mark all that apply.
Teacher
Student
Bystander
Victim/Target
Parent
Bus Driver
Anonymous
Other:
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