OCS - Anonymous Bullying Incident Report Form
Indiana's Bullying Legislation:
IC 20-33-8-0.2 "Bullying" Sec, 0.2 As used in this chapter, "bullying" means overt, repeated acts or gestures, including: (1) verbal or written communications transmitted; (2) physical acts committed; or (3) any other behaviors committed; by a student or group of students against another student with the intent to harass, ridicule, humiliate, intimidate, or harm the other student.

Bullying Incident Report Form
Please complete the bullying incident report. This report is anonymous. If you have an immediate concern, please contact the school's administration.

Please check the type(s) of bullying you are reporting. *
Required
Type the name of the student(s) that are bullying and the school they attend. *
Your answer
Type the name of the student being bullied *
Your answer
Please describe the bullying incident(s) and area(s) in which the bullying is occurring. *
Your answer
Your answer
When did this happen? *
Please try to be as accurate as possible.
MM
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DD
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YYYY
Time
:
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