Vernon ISD Report a Bully
The form is a way for anonymous reports of bullying to be filed.
Date of Incident: *
MM
/
DD
/
YYYY
Time of Incident: *
Time
:
Repeat Infraction? *
Name(s) of Victim(s): *
Name(s) of Student(s) bullying: *
Name(s) of witness or bystander(s): *
Type of Bullying: *
Bullying Behaviors (check all that apply): *
Required
Reported to school by (check all that apply): *
Required
Describe the incident: *
Physical Evidence? *
Submit
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