• H1 Harassment, Intimidation, and Bullying Incident Report Form

    H1 Harassment, Intimidation, and Bullying Incident Report Form

    Please fill out on your device, then download and print the PDF to turn in.

  • This form is used to report conduct which may violate Policy 4103, Harassment, Intimidation, and Bullying. Form H-1 must be completed by the complainant or school personnel.

  • Todays Date
     / /
    2 digit month, 2 digit day, 4 digit year
  • Date Of Incident*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Time
  • Sex*
  • Sex (If Known)
  • Please Select*

  • Disciplinary action may be taken for false reporting.

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  • Should be Empty: