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Complaint Form Bullying, Harassment, Intimidation, or Discrimination (Education Code 234.1)NAME OF COMPLAINANT: Date Are you: The victim A witness I helped deal with the incident Other Name(s) of
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Bullying harassment intimidation is any behavior that is intended to cause harm, fear, or distress to another individual.
Any individual who witnesses or experiences bullying harassment intimidation is required to file a report.
To fill out a bullying harassment intimidation report, provide detailed information about the incident, including dates, times, locations, and individuals involved.
The purpose of bullying harassment intimidation reports is to address and prevent harmful behavior in a timely manner.
Information such as the nature of the incident, individuals involved, witnesses, and any supporting evidence must be reported on bullying harassment intimidation forms.
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