Brazos ISD Bully Reporting Form
Name of Person being bullied
Your answer
Date bullying occurred
MM
/
DD
/
YYYY
Campus alleged bullying victim attends
Your Name (Optional)
Your answer
I am a:
Type of Bullying (select all that apply)
Where did the bullying occur?
Was this alleged incident based on the alleged victim's
Did you witness the bullying?
Was the alleged victim absent from school as a result of the incident?
List other students/staff who may have witnessed the bullying:
Your answer
Describe the events.
Your answer
Submit
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