North Branford Intermediate School Anonymous Reporting Form
Students, parents and any member of the NBIS community can anonymously report bullying/mean behavior by completing this form. Please fill in as much information as possible. Reports will be automatically forwarded to the NBIS safe school climate coordinator and administration. Please be aware that reports are only monitored during normal school hours. If your report warrants immediate action, please call 911 or the non emergency phone number for the North Branford Police Department at (203) 484-2703 to make a report per state law.

NBIS will fully investigate all reports, anonymous or otherwise, and will notify parents of both the target and the aggressor, as required by law. However, no disciplinary action will be taken against an alleged aggressor solely on the basis of an anonymous report.
Name of Victim
Your answer
Name of Perpetrator
Your answer
Witnesses to Incident
Your answer
Date of Incident
MM
/
DD
/
YYYY
Time of Incident
Time
:
Location of Incident
Your answer
Incident Details *
Please describe the details of the incident below. In order to fully investigate a report please be as specific as possible. First hand knowledge is most important and useful in investigating a report.
Your answer
Your Name (OPTIONAL)
You may OPTIONALLY provide your name with this report if you wish. Your identity will be kept confidential.
Your answer
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