Lincoln Bully Reporting Form
If you wish to report anonymously, leave the first question blank. Formal disciplinary action may not be based solely on an anonymous report.
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Reporter Name (first and last)
Name of Victim (first and last) *
Grade of Victim *
Name or description of the person who is alleged of doing the bullying (first and last) *
Grade of person who is alleged of doing the bullying. *
When did this incident occur? *
Where did the bullying happen? *
What type of bullying occurred? *
Describe the bullying that occurred. *
Who else witnessed this taking place? *
Describe steps that have been tried to stop the bullying. *
Briefly share any other information that would be helpful.
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