Bullying/Harassment Form
If you have witnessed or have been a victim of bullying or harassment, please fill out this form to share with Platteville School District staff.
Sign in to Google to save your progress. Learn more
Email *
What is your name? *
Date of when the incident happened. *
Location of the incident. *
Name of the victim. *
If possible, click the school victim attends.
Clear selection
Name of the others who were allegedly involved. *
Names of any witnesses to the incident. *
Please explain what happened.
List evidence, if any: (IE:  letters/notes, graffiti, photos, e-mails, web sites, video/audio recordings, text messages, Facebook pages, etc.).
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Platteville School District. Report Abuse