Report Bullying, Intimidation, or Harassment Now
LISD takes bullying seriously. This form is for anyone to report instances of bullying, intimidation, or harassment (Refer to Policies 3207 and 3207P) that you have encountered. It can be completed anonymously or you can add your contact information.
Sign in to Google to save your progress. Learn more
Name (optional)
Contact info (optional)
Time and Date of Incident *
MM
/
DD
/
YYYY
Location of Incident
Locations outside of school are acceptable.
People Involved in Incident *
Describe the Incident *
Be as specific as possible.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lopez Island School District.

Does this form look suspicious? Report

Google Forms