Report Bullying

 

School Information

School Name

Incident Information

Where did the incident occur?

Type

 

When did it happen?

Who was bullying, harassing, intimidating or causing harm?


* Include first name, last name and grade if known

Who was the person being harmed, bullied, harassed or intimidated?


* Include first name, last name and grade if known

Were there any witnesses? Please list their names here.

Describe what happened. Give as much information as you can.

Reporter Information

Are you a

What is your name (Optional)

Please note: Anonymous reports are accepted however they must provide sufficient evidence to justify the commencement of an investigation. Formal disciplinary action may not be based solely on an anonymous complaint.

If you are not a student at this campus and would like someone to contact you, please add your phone number here. (Optional)