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This document serves as a reporting form for incidents of bullying, cyberbullying, harassment, sexual harassment, and retaliation within the Hampden/Wilbraham Regional School District.
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How to fill out Hampden/Wilbraham Regional School District Bullying, Cyberbullying, Harassment and Retaliation Incident Reporting Form

01
Obtain the Hampden/Wilbraham Regional School District Bullying, Cyberbullying, Harassment and Retaliation Incident Reporting Form from the school office or online.
02
Fill in the date and time of the incident at the top of the form.
03
Provide your contact information, including your name, phone number, and email address.
04
Describe the incident in detail, including what happened, where it took place, and any witnesses present.
05
Indicate if you have reported this incident to anyone else and provide their contact information.
06
Sign and date the form to certify the accuracy of the information provided.
07
Submit the completed form to the designated authority in the school district, such as the principal or the District's bullying officer.

Who needs Hampden/Wilbraham Regional School District Bullying, Cyberbullying, Harassment and Retaliation Incident Reporting Form?

01
Students who experience or witness bullying or harassment.
02
Parents or guardians of students who are involved in bullying incidents.
03
School staff members who need to report incidents of bullying or harassment.
04
Community members who observe incidents occurring on school property.
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The Hampden/Wilbraham Regional School District Bullying, Cyberbullying, Harassment and Retaliation Incident Reporting Form is a document designed for reporting incidents of bullying, cyberbullying, harassment, and retaliation within the school district.
Any member of the school community, including students, parents, guardians, teachers, staff, or administrators, who witnesses or experiences an incident of bullying, cyberbullying, harassment, or retaliation is required to file the form.
To fill out the form, individuals should provide accurate and detailed information about the incident, including the names of those involved, the date and time of the incident, a description of what happened, and any witnesses' names. After completing the form, it should be submitted to the appropriate school administrator.
The purpose of the form is to document incidents of bullying, cyberbullying, harassment, and retaliation, enabling the school district to investigate and address these issues, promote a safe learning environment, and provide support for affected individuals.
The form must include details such as the names of the alleged aggressor and victim, the location of the incident, a description of the incident, the date and time it occurred, and the names of any witnesses.
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