Incident Report Form

Incident Report Form

Incident Report Form

Please fill out and submit this confidential form to file an incident of alleged bullying or harassment. Upon submission, the form will be directed to the school principal/designee or the appropriate district office.

This form may be submitted anonymously.

 

What is your relationship to the District?
mm/dd/yyyy
Were there witnesses?
Have you ever told anyone about this problem?
Have you previously filed a report with the District?
To verify you are not a robot, please enter the text in the box below: