Bullying Incident Report Form
Report Bullying To WBISD.  To report an alleged bullying incident at Walnut Bend School, please fill out the form below.

It is required that the requested information be provided to determine whether the allegations, if proven, would constitute prohibited conduct as defined by policy. Name and contact information are optional. Your allegation of bullying will be investigated in compliance with WBISD Board Policy.

This form can be submitted anonymously; fields asking for contact information are optional.

Before you report an incident be sure to read over what is NOT bullying here.
https://www.walnutbendisd.net/cms/lib/TX21000548/Centricity/Domain/96/NOT-Bullying.pdf
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Reported by (Optional):
Email (Optional):
Phone Number (Optional):
* Reporting Date: *
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Are you a: *
Name of the Student being Bullied: *
Grade(s) of Student(s) Carrying out the Bullying: *
Witness(es) of Alleged Bullying (Optional):
Grade(s)of Witness (Optional):
Clear selection
Date of Incident: *
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* Time of Incident: *
Time
:
* Frequency of Alleged Bullying: *
Type of Alleged Bullying: *
Alleged Bullying Pertains to: *
Location *
Please provide a detailed explanation of the incident and any additional information that could be useful during the investigation: *
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