Bullying Complaint Report Form
DISCLAIMER - Information from this form will be treated confidentially. We will only share this information with appropriate school personnel and law enforcement (if applicable).
Bullying is harmful behavior that is repeated, intentional, and involves an imbalance of power.
Please enter information about the victim below. Please be as specific as possible.
Coeur d'Alene HS
Lake City HS
Northwest Expedition Academy
Person Reporting Incident (Optional)
Phone Number of Person Reporting Incident (Optional)
Email Address of Person Reporting Incident (Optional)
Please enter information about the accused bully below. Please be as specific as possible.
Accused Bully Name OR Description
Location of Incident
Date of Incident
Time of Incident
Description of Incident
Describe what happened in as much detail as possible.
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This form was created inside of Coeur d' Alene School District.