Report a Bully
Report a Bully

I am a:

This field is optional.

Person/people bullying:

If you do not know the name of the person/people bullying, simply do your best to describe the individual(s).

Person/people being bullied:

If you do not know the name of the person/people being bullied, simply do your best to describe the individual(s).

Date and time of incident:

Location of incident:

Type of bullying:

Description of incident:

Witnesses/bystanders:

Please list anyone who was present during the incident, as well as anyone you have told about the incident.

OPTIONAL Contact Info:
If you wish to remain anonymous, simply leave these fields blank.
Your Email:
Additional Contact Info:
 


Security Measure