Get the free Harassment, Intimidation, Bullying Report Form - gloucestertownshipschools

This form is used to report incidents of harassment, intimidation, or bullying (HIB) in accordance with New Jersey law. It allows individuals to document the details of the incident, the parties involved,

How to fill out harassment intimidation bullying report

How to fill out Harassment, Intimidation, Bullying Report Form

1. Obtain the Harassment, Intimidation, Bullying Report Form from the designated authority.
2. Read the instructions carefully to understand the reporting process.
3. Fill out the date and time of the incident at the top of the form.
4. Provide your personal information, including your name, contact details, and relationship to the victim.
5. Describe the incident clearly, including specific details about what happened, who was involved, and any witnesses.
6. Indicate if there were any physical injuries or emotional distress caused by the incident.
7. Sign and date the form to certify that the information provided is accurate.
8. Submit the completed form to the appropriate school authority or designated office.
9. Keep a copy of the submitted form for your records.

Who needs Harassment, Intimidation, Bullying Report Form?

1. Students who have experienced harassment, intimidation, or bullying.
2. Parents or guardians of affected students.
3. School staff or teachers witnessing or reporting such incidents.
4. Any individual who is aware of harassment, intimidation, or bullying occurring within the school community.

People Also Ask about

How do I write a letter to my teacher about my child being bullied?

I am writing to report that my child _ (first and last name of child), has informed me about being bullied and I'd like to work with you to be sure that this concerning issue is addressed right away. __ (first name of child) is in the _ (grade level) at _ (name of school).

How do you write an incident report example?

Three Incident Report Samples Type of incident (injury, near miss, property damage, or theft) Location (Address) Date/time of incident. Name. Name of supervisor. Description of the incident, including specific job site location, the sequence of events, and the results of the event. Whether or not proper PPE was being used.

What are the three elements of bullying?

Bullying Definition: If the physical harm or psychological distress is not the result of systematic or chronic behavior, evaluate for Harassment. SESIR Bullying must include 3 elements: It must be 1) repeated; 2) intentional; and 3) involve a power imbalance.

How do you write a harassment investigation report?

The report should include: Incident or issues being investigated, including dates. Parties involved. Key factual and credibility findings, including sources referenced. Employer policies or guidelines and their applicability to the investigation. Specific conclusions.

What are examples of harassment statements?

Examples of harassment include offensive or derogatory jokes, racial or ethnic slurs, pressure for dates or sexual favors, unwelcome comments about a person's religion or religious garments, or offensive graffiti, cartoons or pictures.

What to say when confronting a bully?

How to respond to bullying: 31 expert ideas Say “STOP!” Eight experts said to say “STOP!” simply and directly. Ask “WHY?” Spark Empathy. Say That the Behavior Is Not Right, OK, or Allowed. Tell the Person That You Want to Talk. Acknowledge What the Person is Trying to Achieve. Offer Help.

How do you write a harassment statement?

Details: Provide a thorough explanation of the issue, including specific incidents, dates, and names of those involved. Impact: Explain how the harassment has affected you and your work. Resolution Request: Specify what action you hope will be taken to address the situation.

How to write an incident report for harassment?

Record instances of harassment and be as detailed as possible. Record dates, times, locations, individuals involved or witnesses to the harassment. Save any relevant communication, such as emails, messages or voicemails. This documentation can serve as crucial evidence if further action is required.

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What is Harassment, Intimidation, Bullying Report Form?

The Harassment, Intimidation, Bullying Report Form is a document used to formally report incidents of harassment, intimidation, or bullying within an organization or institution. It allows individuals to provide details about the incident to ensure that it is addressed appropriately.

Who is required to file Harassment, Intimidation, Bullying Report Form?

Anyone who has experienced or witnessed harassment, intimidation, or bullying within the organization is encouraged to file a report. This includes students, staff, teachers, and sometimes parents or guardians.

How to fill out Harassment, Intimidation, Bullying Report Form?

To fill out the form, provide detailed information about the incident, including names of individuals involved, dates, times, locations, and descriptions of what occurred. Ensure to follow any specific instructions provided by the organization regarding the submission process.

What is the purpose of Harassment, Intimidation, Bullying Report Form?

The purpose of the form is to document incidents of harassment, intimidation, or bullying to initiate an investigation, promote awareness, and implement measures to prevent such behavior in the future.

What information must be reported on Harassment, Intimidation, Bullying Report Form?

The form typically requires the names of the individuals involved, the nature of the incident, date and time of occurrence, location, and any witnesses. It may also ask for the reporting individual's contact information for follow-up.