Report Bullying

Identity Based Harm and/or Bullying

Reporting Tool

IF THIS IS AN EMERGENCY CALL Kids Help Phone 1-800-668-6868 NOW!

Don't Worry! No personal information about you will be reported unless you choose to provide additional details or unless it is necessary to enable the Board of Education and school staff to appropriately respond to your bullying report.

School

THE FOLLOWING TWO FIELDS ARE OPTIONAL

OPTIONAL FIELDS

I identify as:

I am in grade

Who is/was involved?

Where did the incident occur?

When did the incident occur?

Type of Harm

Physical
Verbal
Cyber
Emotional
Identity Based Harm

Do you wish to be contacted?

Supplying your contact information will enable the school principal to investigate the incident more thoroughly and follow up appropriately.

Yes No

Contact Information

First Name

Last Name

Phone Number

Email Address

To the best of my knowledge, the information that I have provided is truthful.

I understand that submitting a false report could be a punishable criminal offense.

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