Alleged Bullying Report Form
In all reports of bullying, an appropriate investigation will be conducted based on the information received in the report. Bullying is a serious infraction punishable by a minimum suspension of 3 day and a maximum consequence of alternative school.
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Reporter's Name: *
Provide your first and last name.
I am a *
Alleged Bully's Name: *
Include the alleged bully's first and last name.
Incident Location: *
Provide details about where the incident occurred.
When and where did it happen? *
Include details about the time, date, and location where the incident occurred.
Explain what happened? *
Provide details about the events leading up to the incident and details about the incident.
Who was there? *
Provide first and last names of anyone who witnessed the incident.
Did you report it to a school official? If so, how did you report it, who did you report it to, and when did you report it? *
Provide the name and title of the school official and the estimated time and date the incident was reported.
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