Anonymous Bullying/Harassment Report
Please use this form to report bullying or harassment you experienced or witnessed. The report is completely anonymous.  The more information you provide, the easier it will be to follow up with those involved in the situation.
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Email *
What happened? Please use as much detail as possible *
Where did the bullying/harassment take place? *
What type of bullying/harassment took place? *
Was the bullying/harassment over one of these issues? *
Do you know the day(s) and time(s) the bullying/harassment occurred? *
Was anyone physically injured? *
Who was bullied/harassed? *
Who was the one doing the bullying/harassing?
 *
Do you have any other information related to this situation that would be helpful to report?
 *
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This form was created inside of Lick Creek CCSD #16.

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