Bullying, Harassment, Threat or Incident Allegation Report

 
 
 Allegation Report 

 
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  Allegation Information
   
 
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It is beneficial for the district to have a contact for follow up information.
 
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It is beneficial for the district to have a contact for follow up information.
    

    
   
 
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  Reporting anonymously, failure to report immediately and not providing adequate information may impair the District's ability to investigate, address the prohibited conduct and/or may delay the investigation.
   

 
  Targeted Victim
   
 
 
   
 
 
   
 
 




    
   
 
 
   
 
 
   

 
  Perpetrator (If Known)
   
 
 
   
 
 
   
 
 
   
 
 
   

 
  Witness Information
   
 
 
   
 
 



   
 
 
   

 
  Bullying Report Terms & Conditions
   
  I certify that all statements made in the complaint are true and complete. I understand that any intentional misstatement of fact may subject me to school discipline. I authorize school officials to disclose the information I provide only as necessary in pursuing the investigation of my complaint.
   
 
 
   
  Once you report, if anonymous, we will investigate to the best of our ability based on the information in this report. If you provide contact information, we may reach out to you for follow up information; however, investigation outcomes will be confidential as these incidents pertain to personnel or students (FERPA) private records
   
 
 
 
 Done