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Harassment, Intimidation, or Bullying (HIS) Incident Reporting Form School: Date: Confidential Report Anonymous Report Confidential Third Party Reporting Person(s): Phone # (optional): Email Address
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How to fill out harassment intimidation or bullying

01
To fill out a harassment intimidation or bullying report, follow these steps:
02
Identify and document the details of the incident, including the date, time, location, and individuals involved.
03
Ensure your own safety and well-being before proceeding with the report.
04
Report the incident to a trusted authority figure, such as a teacher, principal, or supervisor.
05
Provide a detailed and accurate account of the incident, being specific about the actions, words, or behaviors that occurred.
06
Cooperate with any investigations or follow-up actions required by the authority figure.
07
If necessary, seek support from a counselor, therapist, or support group to address the emotional impact of the incident.
08
Keep a record of all communication and actions taken regarding the incident for future reference.
09
If the harassment, intimidation, or bullying continues or escalates, consider involving local law enforcement or legal authorities.
10
Follow any additional guidelines or procedures provided by your school, workplace, or organization.

Who needs harassment intimidation or bullying?

01
Harassment, intimidation, or bullying can affect individuals of any age, background, or profession.
02
Anyone who is experiencing or witnessing harassment, intimidation, or bullying may need to address the issue.
03
This includes students, employees, parents, teachers, supervisors, and members of various organizations.
04
Ensuring a safe and inclusive environment for everyone is essential, so anyone who encounters harassment, intimidation, or bullying should report and address it.
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Harassment, intimidation, or bullying refers to aggressive behavior that intentionally causes harm, threatens, or creates a hostile environment for the victim. It can manifest in various forms, such as verbal abuse, physical violence, or social exclusion.
Typically, any individual who witnesses or experiences harassment, intimidation, or bullying is required to file a report. This includes students, employees, and in some cases, parents or guardians.
To fill out a harassment, intimidation, or bullying report, individuals should provide detailed information about the incident, including the names of those involved, the date and location of the incident, a description of what occurred, and any witnesses.
The purpose of addressing harassment, intimidation, or bullying is to provide a safe environment for individuals, promote respect and inclusion, and ensure that inappropriate behavior is addressed and remedied.
The report should include the names of the individuals involved, the nature of the incident, the date and time it occurred, the location, any witnesses, and the impact on the victim.
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