Online Bullying Reporting Form
East Nicolaus High School is committed to providing a safe, comfortable learning environment for all students. Bullying incidents can be reported directly to a trusted staff member at your school. This online form may also be used by East Nicolaus students students to report being bullied or by someone witnessing a student being bullied. For more information about this online form, please see our Frequently Asked Questions @

Once submitted, the investigation process will begin within five (5) working days. Keep in mind, this process can only be as thorough as the information provided. If you do not want the form to go to the school’s principal, contact the Office at (530) 656-2255 to report bullying and do not complete this form.
Location where incident occurred (optional)
Your answer
Person Reporting Incident
Name (optional)
Your answer
Phone (optional)
Your answer
e-mail (optional)
Your answer
Select which apply to you (optional)
Bullying Incident
Name(s) of alleged offenders (optional)
Your answer
Please describe the bullying incident. Try to include as many details as possible (optional)
Your answer
Check all that apply *
Your answer
Please indicate if you think the incident was motivated by:
By completing this form, you are verifying that your statements are true and accurate to the best of your knowledge.If you have trouble completing this form and would like to speak with someone, contact the School Office at (530) 656-2255.
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