Confidential Bullying Incident Form (BAMS)
Bullying is a deliberate or intentional behavior that involves an imbalance of power. Bullying may be motivated by an actual or perceived characteristic, such as, but not limited to: age, national origin, race, ethnicity, religion, gender, gender identify, sexual orientation, physical attributes, physical or mental (dis)ability, and social, economic or family status.

By submitting this form the school will follow all proper procedures to investigate and resolve the behavior.
Reported By: hailey staton *
First Name: *
Last Name: *
Email: *
Phone Number: *
First Name of Victim: *
Last Name of Victim: *
Date of Incident: *
School You Attend: *
First Name of Accused Bully *
Last Name of Accused Bully *
Incident Description Summary. Please Explain What Happened. *
Bystanders (Witnesses to the bullying act)
Is This a Repeated Incident? *
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