Anonymous Bully/Threatening Behavior Report

Anonymous Bully/Threatening Behavior Report
Indiana's Bullying Legislation:
IC 20-33-8-0.2 "Bullying" Sec, 0.2 As used in this chapter, "bullying" means overt, repeated acts or gestures, including: (1) verbal or written communications transmitted; (2) physical acts committed; or (3) any other behaviors committed; by a student or group of students against another student with the intent to harass, ridicule, humiliate, intimidate, or harm the other student.

Bullying Incident Report Form
Please complete the bullying incident report. This report is anonymous. If you have an immediate concern, please contact the school's administration.
Provide your contact information (name, email, etc.) if you would like. (optional)
Which school is the concerns happening at
Please check the type(s) of bullying you are reporting?
Who was bullying, harassing, intimidating or causing harm? (Please include first name, last name and grade if possible.)
Type the name of the student being bullied
Please describe the bullying incident(s) and area(s) in which the bullying is occurring.
When did this happen?Please try to be as accurate as possible.

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