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Montana Office of Public Instruction
Bullying/Intimidation Model Incident Reporting Form
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The following Model Incident Report Form (form) is provided by the Montana Office of Public Instruction
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How to fill out bullyingintimidation model incident reporting

How to fill out bullyingintimidation model incident reporting
01
Start by identifying the incident of bullying or intimidation that needs to be reported.
02
Collect all necessary information about the incident, such as the date, time, and location it occurred.
03
Fill out the details of the victim, including their name, age, and any relevant contact information.
04
Provide a clear and concise description of the incident, including any supporting evidence or witnesses, if available.
05
Specify the type of bullying or intimidation that took place, whether it was physical, verbal, or online.
06
Indicate the severity of the incident, such as mild, moderate, or severe.
07
Include any previous incidents or patterns of bullying/intimidation that may be relevant to the current incident.
08
Sign and date the incident report to validate its authenticity.
09
Submit the completed form to the appropriate authority or organization responsible for addressing bullying incidents.
Who needs bullyingintimidation model incident reporting?
01
Anyone who has witnessed or experienced bullying or intimidation in any setting, such as schools, workplaces, or communities, may need to use the bullying/intimidation model incident reporting.
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What is bullying/intimidation model incident reporting?
Bullying/intimidation model incident reporting is a process of documenting and reporting incidents of bullying or intimidation within an organization or institution.
Who is required to file bullying/intimidation model incident reporting?
All employees, students, or individuals who witness or are victims of bullying or intimidation are required to file a report.
How to fill out bullying/intimidation model incident reporting?
Bullying/intimidation model incident reporting can be filled out by providing details of the incident, including date, time, location, individuals involved, and a description of what occurred.
What is the purpose of bullying/intimidation model incident reporting?
The purpose of bullying/intimidation model incident reporting is to address and prevent acts of bullying or intimidation, create a safe environment for all individuals, and take appropriate disciplinary action.
What information must be reported on bullying/intimidation model incident reporting?
Information such as the date, time, location, individuals involved, description of the incident, impact on victims, and any witnesses must be reported.
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