Bullying Incident Report Form

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If this is an emergency please dial 911. Incident report forms will be monitored during regular school hours when school is in session by the impacted staff. If you or someone you love is in crisis please dial 911 or text Hello to 741741 or call 988 for assistance.

Providing specific detailed description of events will help the team investigate. The more information given helps the team respond in a timely manner.

Which building/grades does this report cover?

Southeast High School (Grades 9-12)

Southeast Middle School (Grades 6-8)

Southeast Intermediate (Grades 3-5)

Southeast Primary (Grades K-2)

Reported by:

(Optional)

Names of the involved students: In order to investigate it is imperative that we know all parties involved.

When did this occur?

Where did this occur?

What happened? Tell the story, be as detailed as possible.

Submit

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