Bay View Bullying Report Form
Please fill out all the questions below and then press the submit button. By  submitting this form, you certify that all statements made in the complaint are true and complete. Any intentional false statement of fact will subject you to appropriate discipline. You also authorize school officials to disclose the information you provided as necessary in pursuing the investigation. Your name will only be used upon mutual agreement between the School Administration and you.
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Name: *
Please check the appropriate box. *
Required
Date *
List the name and grade of the alleged bully, and/or cyberbully. If name is not known, provide any other identifiable information: *
Name and grade of the alleged person being bullied: *
If known, please describe the relationship between the person being bullied and the alleged bully, and /or cyberbully:
Describe the incident: *
Date of incident: *
When and where did it happen? *
Where there any witnesses? *
If yes, who?
Other information, including previous incidents or threats:
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