Bullying Report Form
Williams Unified School District #2 is committed to providing a safe learning environment for all students. This form may be used by students to report being bullied or by someone witnessing a student being bullied.
School where incident occurred *
Select which apply to you *
Location where incident occurred *
Bullying Incident
Name (s) of alleged offenders--if name(s) are known, include to help investigation. *
Your answer
Please describe the bullying incident. Try to include as many details as possible. *
Your answer
Check all that apply *
Required
Person Reporting Incident
Name (optional. please provide contact information if you would like a follow up)
Your answer
Phone (optional)
Your answer
E-Mail (optional)
Your answer
By completing this form, you are verifying that your statements are true and accurate to the best of your knowledge.
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