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Anonymous Safety Report (Harassment/Bullying Safety Report)
Complete this form to anonymously report incidents of harassment or bullying.
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* Indicates required question
Provide a brief description of the incident you would like to report.
*
Your answer
Did you witness this incident?
*
Yes
No, but I heard about it from the victim.
No, but I heard about from another individual.
Where did this take place?
*
Your answer
Who was involved?
*
Your answer
What day did this happen?
*
MM
/
DD
/
YYYY
What time did it happen?
*
Time
:
AM
PM
You do NOT have to provide your name. Please understand that if you do not leave your name the principal will not know who sent this in. This could be significant if you are reporting an incident that happened to you.
Your answer
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