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Bully Report Form - Harrold ISD
Use this form to report an incident. You DO NOT have to give your name. All reports are kept confidential. This report will go to administration and the counselor.
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* Indicates required question
Name (optional)
Your answer
Date and time of incident you are reporting:
*
Your answer
Place the above incident occurred (school grounds, classroom, online, etc.)
*
Your answer
Describe the incident as best as you can, names of persons involved or bystanders. The more information you can give, will help us to investigate the incident. All information is kept confidential.
*
Your answer
Is there anyone you would like for us to follow up with (yourself or designated person) please let us know who and how to contact them. This is optional.
Your answer
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