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2019-2020 Bullying & Hazing Incident
The purpose of this Form is to report all types of bullying and hazing by and against students and employees of the Washington County School District.
To report violations anonymously...
• Call __635-8931
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* Indicates required question
Name of Complaining Party
*
(Use this if you were a witness to Bullying)
Your answer
Name of Person Being Bullied
*
Your answer
Name of Offender (if known)
*
If not known, just put "Unknown".
Your answer
Date of Incident
*
MM
/
DD
/
YYYY
Location of Incident
*
Bathroom
Bus
Classroom
Gym
Hallway
Lunch Area
Other:
Statement describing the Incident, including names of witness (if known)
*
Your answer
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