Tribal School - Bullying Complaint Report
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.
Victim Information
Please enter information about the victim below. Please be as specific as possible.
Victim's Name *
Your answer
Person Reporting Incident (Optional)
Your answer
Phone Number of Person Reporting Incident (Optional)
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Email Address of Person Reporting Incident (Optional)
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Accused Information
Please enter information about the accused bully below. Please be as specific as possible.
Accused Bully Name OR Description *
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Location of Incident
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Date of Incident
MM
/
DD
/
YYYY
Time of Incident
Time
:
Description of Incident - include as much detail as possible *
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