Report Bullying and Harassment
Bullying and harassment are violations of school district policies, rules, and regulations and, in some cases, may also be a violation of criminal or other laws. This type of behavior will not be tolerated by the Frewsburg Central School District.

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Full Name of Person Reporting, if willing
If willing, how can we contact you if needed?
Phone number or email address
Grade Level/Role of Person Reporting *
Full name of student targeted *
Full name(s) of accused of bullying/harassment *
Date of incident *
Give the approximate date when the incident occurred
MM
/
DD
/
YYYY
Location of incident *
Give the approximate location where the incident occurred
Required
Nature of Discrimination or Harassment *
Required
Type of Harassment *
Required
Description of the incident *
Provide a detailed description of what happened and/or what was said
Name(s) of witnesses (if any)
How often has this issue occured? *
Was this issue previously reported? *
If yes, please enter the name of the person this was reported to in the "Other" field.
I agree that all of the information provided is accurate and true to the best of my knowledge. *
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