Anonymous Safety Report (Harassment/Bullying Safety Report)
Complete this form to anonymously report incidents of harassment or bullying.
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Provide a brief description of the incident you would like to report. *
Did you witness this incident? *
Where did this take place? *
Who was involved? *
What day did this happen? *
MM
/
DD
/
YYYY
What time did it happen? *
Time
:
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.
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