Please fill in all the information you can to help us stop the bad behavior! Please try to give us names or nicknames. Don’t worry about the spelling, spell it like it sounds. Do the best you can to remember the date and time. Be sure to identify the school you are from, so we can direct your information effectively. Remember that you must answer all questions marked with a red asterisk * before you will be able to submit this report.

The more information and detail you give, the more effective we can be in investigating and addressing the concern. If there is an immediate concern or you believe bullying is occurring now, go to the office/ school employee and report it immediately.

Report A Bully
First, Last
Student, Parent, Other
mm/dd/yyyy
Location of where the bullying took place.
Name and description of the bully.
MM/DD/YYYY