HIB 338 Form Harassment, Intimidation, or Bullying (HIB) Reporting Form 2024-25 School Year
NOTE: THIS FORM IS NO LONGER ACCEPTING RESPONSES. PLEASE VISIT HIBSTER TO REPORT AN HIB INCIDENT

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School Information 
Please provide school information by answering the questions below. 
School *
Individual Completing Form
If you prefer to remain anonymous, leave this section blank. Individuals filling out this HIB 338 Form as an anonymous reporter may consider adding their name as a witness.
Name of Individual completing this form:
Relationship to individual involved in allege incident of HIB (e.g., parent, guardian, grandparent, etc.):
Phone number
Email Address
Incident Information
Please answer the questions below to provide a description of the incident.
Incident Date (mm/dd/yy) *
MM
/
DD
/
YYYY
Approximate time of the incident
Time
:
Describe the incident with as much detail as possible. (What was the incident? Who was involved in the incident? How you were made aware of the incident? What happened at the time of the incident? How did the incident occur?) *
Specific incident location(s) (e.g., on the morning school bus, in the science wing hallway, online via social media, etc.) *
Name(s) of alleged offender(s): *
Based on your knowledge, select all that apply about the alleged offender(s)
Name(s) of alleged victim(s) *
Based on you knowledge, select all that apply about the alleged victim(s) *
Required
Witnesses
Complete this section with the names of any potential witnesses.
Student Name(s):
Staff Name(s):
Parent Name(s):
Other Name(s) (specify title or position for each)
Typing your name here will count as a signature of the person completing this HIB 338 form.
Date: *
Submit
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