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DENNIS TOWNSHIP SCHOOL DISTRICT HARASSMENT, INTIMIDATION & BULLYING PREVENTION (POLICY #5501) HARASSMENT, INTIMIDATION & BULLYING REPORT FORM Person Reporting Incident: Name: Student School/Location:
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How to Fill Out Harassment Intimidation & Bullying:

01
Start by obtaining the necessary form or document for reporting harassment, intimidation, and bullying. This may vary depending on the organization or institution you are affiliated with.
02
Read and familiarize yourself with the instructions provided on the form. Pay attention to any specific requirements or guidelines mentioned.
03
Begin by entering your personal information accurately. This typically includes your name, contact details, and any other requested identification information.
04
Provide a detailed description of the incident(s) of harassment, intimidation, or bullying that you have experienced or witnessed. Be specific and concise, including relevant dates, times, locations, individuals involved, and any supporting evidence if available.
05
If applicable, indicate any actions you have taken thus far to address the situation, such as reporting the incident to a supervisor, teacher, or any designated authority.
06
If there were any witnesses to the incident(s), provide their names and contact information. Their testimony or observations can be crucial in addressing the issue.
07
If there are additional documents or evidence related to the harassment, intimidation, or bullying, make sure to attach copies with the form. This may include emails, text messages, photographs, or any other relevant materials.
08
Review the completed form for accuracy and completeness. Make sure all sections are filled out and legible.
09
Depending on the instructions provided, submit the form either electronically or in person, ensuring it reaches the appropriate individual or department responsible for handling these complaints.
10
Keep a copy of the completed form and supporting documents for your records.

Who Needs Harassment Intimidation & Bullying?

01
Individuals who have experienced or witnessed incidents of harassment, intimidation, or bullying in their workplace, educational institution, or community.
02
Employees who want to report workplace harassment and ensure a safe and respectful work environment.
03
Students, parents, or guardians who need to address incidents of bullying or intimidation within their school or educational setting.
04
Community members who have encountered harassment or intimidation within their neighborhood, group, or social circles.
Remember, different organizations or institutions may have their own specific protocols and procedures for reporting and addressing harassment, intimidation, and bullying. It is essential to familiarize oneself with these guidelines to ensure the appropriate channels are followed and the situation can be properly addressed.
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Harassment, intimidation, and bullying is any intentional conduct, including verbal, physical, or written conduct, that creates a hostile environment and interferes with a person's rights or opportunities.
Schools, educational institutions, and workplaces are required to file reports of harassment, intimidation, and bullying incidents.
To fill out a harassment, intimidation, and bullying report, individuals should provide detailed information about the incident, including dates, locations, and descriptions of the behavior.
The purpose of reporting harassment, intimidation, and bullying is to create a safe and inclusive environment for all individuals and to address and prevent such behaviors.
Reports of harassment, intimidation, and bullying should include details about the incident, the individuals involved, any witnesses, and any actions taken in response to the incident.
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