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Employee Receiving Complaint: Student complainant’s): D.O.B. Parent / Guardian Phone Date Complaint Filed: Alleged Harasser’s): Alleged Harasser’s) Grade: D.O.B. What Happened? Be Specific (include
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How to fill out student harrassment report form

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How to fill out a student harassment report form:

01
Start by providing your personal information, such as your name, contact information, and student identification number. This will help the school or institution identify you and follow up on your report.
02
Indicate the details of the incident. Describe the incident thoroughly, including the date, time, and location. Be specific about the actions or behaviors that made you feel harassed or threatened.
03
Identify the individuals involved. Provide the names and any other identifying information of the alleged harassers. If there were witnesses to the incident, include their names as well. This will help the school investigate the situation effectively.
04
Describe any actions you took to resolve the issue prior to filing the report. If you have already tried to address the harassment with the individuals involved or with school authorities, mention those attempts in the report.
05
Explain the impact of the harassment on you. Detail how the incident has affected you emotionally, academically, or physically. This information is crucial for the school to understand the severity of the situation.
06
Include any supporting evidence, if available. If you have any documentation or evidence related to the incident, such as text messages, emails, or photographs, provide copies or describe them in the report. This can strengthen your case and support your claims.
07
Sign and date the report. By signing the report, you acknowledge that the information provided is accurate to the best of your ability. Make sure to date the form as well.

Who needs a student harassment report form?

01
Students who have experienced harassment or witness harassment taking place should use a student harassment report form.
02
School administrators and staff members who receive student harassment reports will also need the form to properly document and address the issue.
03
It is important for schools and institutions to have this form available to ensure a safe and inclusive learning environment for all students.
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Student harassment report form is a document used to report incidents of harassment or discrimination against students.
School staff, faculty, administrators, or any individual who witnesses or receives a report of student harassment is required to file the form.
The form can typically be filled out online or in person. It requires details of the incident, individuals involved, date, time, and any supporting evidence.
The purpose of the form is to document and investigate incidents of student harassment to ensure a safe and inclusive environment for all students.
The form must include details of the incident, individuals involved, date, time, location, witnesses, and any supporting evidence.
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