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Bullying, Harassment, or Intimidation Reporting Form MCPS Form 230-35 August 2013 Department of Student Services MONTGOMERY COUNTY PUBLIC SCHOOLS Rockville, Maryland 20850 This form is to be confidentially
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How to fill out bullying harassment or intimidation:

01
Start by gathering all relevant information and details about the incident. This includes documenting the date, time, location, and the individuals involved. It is important to be as specific as possible when describing the incident.
02
Clearly describe the nature of the bullying, harassment, or intimidation that occurred. Provide a detailed account of what happened, including any specific actions, words, or behaviors that were used to intimidate or harass.
03
If there were any witnesses to the incident, make sure to include their names and contact information. Their statements can provide additional support and credibility to your report.
04
Consider providing any evidence or documentation that may back up your claims. This could include text messages, emails, or photographs that relate to the incident. However, only include evidence that is relevant and directly supports your report.
05
Reflect on the impact the bullying, harassment, or intimidation has had on you. Describe any emotional, psychological, or physical effects that you have experienced as a result of the incident. This helps to emphasize the seriousness of the situation.
06
Finally, provide any additional information or details that may be relevant to your report. This could include any previous incidents involving the same individuals or any patterns of behavior that you have noticed.

Who needs bullying harassment or intimidation?

01
Anyone who has been a victim of bullying, harassment, or intimidation can benefit from reporting their experience. It is important to address these issues for your own well-being and to ensure that the appropriate actions can be taken.
02
Parents or guardians of children who have been subjected to bullying, harassment, or intimidation should also report these incidents. By doing so, you are advocating for your child's safety and welfare.
03
Educational institutions, workplaces, and other organizations have a responsibility to address and prevent bullying, harassment, or intimidation. Reporting these incidents helps create a safer environment for everyone involved.
In conclusion, filling out a report on bullying, harassment, or intimidation involves gathering information, describing the incident, providing evidence, reflecting on its impact, and including any additional relevant details. It is important for individuals who have experienced these issues to report them, as well as for parents, organizations, and institutions to take action.
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Bullying harassment or intimidation is the act of deliberately causing harm or distress to others through verbal, physical, or psychological means.
Any individual who has witnessed or experienced bullying harassment or intimidation is required to file a report.
To fill out a report on bullying harassment or intimidation, provide detailed information about the incident, including dates, times, locations, and individuals involved.
The purpose of reporting bullying harassment or intimidation is to address and prevent further harm to individuals and promote a safe and respectful environment.
Information such as the nature of the incident, names of individuals involved, and any supporting evidence should be reported on bullying harassment or intimidation.
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