School Safety/Bullying Report 
For emergencies, dial 911. 
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Please select at least one activity.  *
Your Name (Optional)
Street Address (Optional)
City (Optional)
Telephone (Optional)
Email (Optional)
When did the suspicious or bullying activity occur? *
MM
/
DD
/
YYYY
Was Social Media used to express the problem? *
If yes, what social media platform was used? Enter Username/Handle/Email/Phone Number, if available:
Describe what you observed in detail (who,what,when,where). Please provide as much information as possible, including description and identifiers, of vehicle(s) and person(s) involved, whether suspect or victim.  *
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