Get Harassment, Intimidation Or Bullying Reporting Form

Completing the Harassment, Intimidation or Bullying Reporting Form is an important step for those who wish to report incidents of bullying within educational environments. This guide will provide you with clear, step-by-step instructions on how to fill out the form accurately and effectively.

Follow the steps to complete and submit your report.

1. Press the ‘Get Form’ button to access the reporting form and open it in your preferred online editor.
2. Today’s Date: Begin by noting the current date in the appropriate field; this helps provide context for the report.
3. Name (Print): Clearly print your name in the designated area. This identifies you as the reporter of the incident.
4. Your Title: Circle the option that fits your role, such as Student, Parent, Staff, or Other. This helps clarify your relationship to the victim.
5. Name of Victim: Enter the full name of the person who experienced the alleged harassment or bullying.
6. Name of Accused: Provide the name of the individual who is accused of the harassment or bullying.
7. Incident Date: Specify the date when the incident reportedly occurred.
8. Time: Enter the time the incident took place to provide a complete timeline.
9. Location: Indicate where the incident occurred to establish the setting.
10. What Happened?: Provide a detailed account of the alleged incident, addressing (A) what occurred, (B) when and where it happened, (C) reasons why you believe the actions constitute harassment, (D) names of witnesses, and (E) any other relevant facts.
11. What Was Your Response?: Describe your response to the incident and evaluate whether it helped the victim.
12. Evidence: List and attach any additional information or evidence you may have, such as photos, notes, letters, or documentation of damaged property.
13. Signature: Sign the form to affirm that all provided information is true and accurate to the best of your knowledge.
14. Name of Person Receiving Form: Leave space for the name of the school staff member who will receive the completed report.
15. Date: Include the date when the form is submitted. Finally, ensure that you hand-deliver the completed form to the main office staff of the school.

Take action now by filling out your Harassment, Intimidation or Bullying Reporting Form online.