Bullying & Harassment Reporting Forms A&B 2024-2025
This form is to be confidentially maintained in accordance with the Family Educational Rights and Privacy Act, 20 U.S.C. § 1232g. 

Directions: Bullying, harassment, and intimidation are serious and will not be tolerated. This is a form to report alleged bullying, harassment, or intimidation that occurred on school property; at a school-sponsored activity or event off school property; on a school bus; or on the way to and/or from school, in the current school year. 

If you are a student victim, the parent/guardian of a student victim, a close adult relative of a student victim, student witness, or school staff member and wish to report an incident of alleged bullying, harassment or intimidation, complete this form and return it to the student’s assistant principal, the school principal, or the main office. 

Contact the school for additional information or assistance at any time. All incidences will be investigated, but not every incident will result in school discipline.

By completing this form you are certifying the information you have provided in this complaint is accurate and complete to the best of your knowledge. 
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