Loup City Public Schools Bullying/Harassment Incident Report Form
Use this form to report a bullying/harassment incident
Name of the Person filing the report:
Optional but helpful
Your answer
I am *
Did you witness the harassment/bullying? *
Who is being harassed/bullied *
Your answer
Which school does the person you are concerned about attend? *
Where is this happening? *
When did this happen? *
Your answer
What happened? *
Your answer
Have you told an adult? *
Are there any witnesses? *
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