Andrews ISD Bully Report Form
In all reports, an appropriate investigation will be conducted based on the information received in this report. Please provide detailed information to ensure an efficient investigation. Providing your name is optional, however it will drastically assist the investigation.
Your Name (Optional)
Your answer
Name of Person Being Bullied *
Your answer
Bully's Name *
Your answer
Campus *
When did the incident take place? *
MM
/
DD
/
YYYY
About what time did the incident take place? *
Time
:
Where did it happen? *
Your answer
What happened? *
Your answer
Who was there? *
Your answer
Have you reported this to an adult? *
If yes, to whom did you report it?
Your answer
Submit
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