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BULLYING, HARASSMENT, OR INTIMIDATION INCIDENT SCHOOL INVESTIGATION FORM School Personnel Completing Form: Today's date: / / Month Day Position: School: Year School System: Person Reporting Incident
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How to fill out bullying harassment or intimidation?

01
Start by clearly identifying the incident that occurred. Describe the specific act or behavior that constitutes bullying, harassment, or intimidation. Include details such as the date, time, location, and any witnesses present.
02
Provide a detailed account of what happened. Use factual language and avoid making assumptions or speculative statements. Stick to describing the facts of the incident and avoid including personal opinions or emotions.
03
Include any supporting evidence or documentation. If there are any written or electronic records of the incident, such as text messages, emails, or social media posts, gather and attach them to your report. These materials can help substantiate your claim and provide further context.
04
Identify the individuals involved. Clearly state the names and roles of all individuals involved in the incident, including the alleged perpetrators and any victims or witnesses. If you do not know the names of the individuals involved, provide detailed physical descriptions or any other identifying information you may have.
05
Describe the impact or consequences of the incident. Explain how the bullying, harassment, or intimidation affected you or others involved. This can include emotional distress, physical harm, academic or work performance decline, or any other negative effects caused by the incident.
06
State your desired outcome or resolution. Clearly articulate what you hope to achieve by reporting the incident. This can include actions such as disciplinary measures for the perpetrators, counseling or support services for the victims, implementation of anti-bullying policies, or any other appropriate actions that can help address the issue and prevent future incidents.

Who needs bullying harassment or intimidation?

01
Students who have experienced bullying, harassment, or intimidation in educational settings.
02
Employees who have been subjected to workplace bullying, harassment, or intimidation.
03
Community members who have witnessed or been victims of bullying, harassment, or intimidation in various social environments.
Note: It is essential to report bullying, harassment, or intimidation to the relevant authorities or appropriate channels to ensure proper investigation and intervention.
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Bullying harassment or intimidation is any unwanted aggressive behavior that involves a real or perceived power imbalance.
Any individual or organization that has knowledge or evidence of bullying harassment or intimidation is required to file a report.
The report should include details of the incident, individuals involved, date/time, location, and any supporting evidence.
The purpose is to address and prevent any form of bullying, harassment, or intimidation in order to create a safe environment.
Details of the incident, individuals involved, date/time, location, and any supporting evidence must be reported.
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