KCUSD See Something, Say Something...
If you can, please also inform a KCUSD employee/adult on campus.  This form is for reporting: Harassment, Bullying, Unsafe Activity or Illegal Activity.  Thank you for helping keep us all safe.  
Sign in to Google to save your progress. Learn more
Your Name
Entering your name is optional.
Site *
Please check your grade level. *
If you are a parent, guardian, or community member reporting an issue, please check off other and type in your response.
When did the incident occur? *
If multiple dates, enter the most recent incident. If you do not know a date, give an approximation.
What type of incident are you reporting.
Where did this incident take place? *
If the incident is happening on social media, which one?
Name of the Victim *
Person who is being victimized or bullied. If there is no victim, enter "N/A"
Please give a brief description regarding what you know about the situation that happened or has been occurring. *
This is required to be able to submit.
Name of the Suspect
Person who is bullying or causing the incident.  If you do not know the person's name, please leave it blank.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Kings Canyon Unified School District. Report Abuse