Anonymous Bullying Reporting Form
This online bullying or threatening behavior report was created so that people would have a safe way to report bullying and safety concerns.

When a person really needs help, we hope you will step up and send in a report.
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After you submit the form, this form/report sends an email to a school administrator with all of the details from your bully report. If there is an immediate concern and danger, please call 911.
Who are you? *
Required
Please choose the location where the incident happened. *
Required
Please provide us with the TIME and DATE that the incident happened. *
Your answer
How many times has this situation happened? *
Required
Have you reported this incident to an adult at the school? *
Who was bullying, harassing, intimidating, or causing harm? (Please include first name, last name, and grade, if possible.) *
Your answer
Describe what happened. Give as much information as you can. Let us know if there were any witnesses. *
Your answer
If you would like someone to contact you, please add your phone number or email address. (OPTIONAL)
Your answer
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