Bullying Incident Form

Bullying Incident Forms

The District is committed to maintaining a learning and working environment free of any form of bullying or intimidation.  Bullying is strictly prohibited on school grounds, or school time, at a school sponsored activity or in a school related context.  Bullying is the intentional action by an individual or group of individuals to inflict intimidation, unwanted aggressive behavior, or harassment that is repetitive or is substantially likely to be repeated and causes a reasonable student to fear for his or her physical safety or property; substantially interferes with the educational performance, opportunities, or benefits of any student without exception; or substantially disrupts the orderly operation of the school. Bullying may consist of physical actions, including gestures, or oral, cyberbullying, electronic, or written communication, and any threat of retaliation for reporting acts of bullying. Policy 2655


Students are encouraged to report any incident of bullying which they have witnessed or incurred, by contacting their building principal. Students and parents may also fill out the appropriate building level “Bullying Incident Form” below.  


Primary School Bullying Incident Form (grades PreK-2)

Intermediate School Bullying Incident Form (grades 3-5)

Middle School Bullying Incident Form (grades 6-8)

High School Bullying Incident Form (grades 9-12)

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