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MOUNDS BOARD OF EDUCATIONFNCDEHARRASSMENT/BULLYING INCIDENT REPORT FORM Date:___ Time: :___ Room/Location: :___ Student(s) Initiating Bulling/Harassment: ___ Grade:___Class: ___ ___ Grade:___Class:
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How to fill out harassment intimidation and bullying

01
Report any incidents of harassment, intimidation, and bullying to a trusted adult or authority figure.
02
Keep a detailed record of the incidents, including dates, times, and descriptions of the behavior.
03
Seek support from friends or a counselor who can help you navigate the situation.
04
Follow any guidelines or procedures set forth by your school or workplace for reporting and addressing harassment, intimidation, and bullying.
05
Remember that you have the right to feel safe and respected, and do not tolerate any form of mistreatment or abuse.

Who needs harassment intimidation and bullying?

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Harassment, intimidation, and bullying can affect anyone, regardless of age, gender, or background.
02
Anyone who is being targeted or experiencing threats or harmful behavior from others may need help and support to address the issue.
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Harassment, intimidation, and bullying refer to behaviors that target individuals with the intent to harm, threaten, or humiliate them, often causing emotional and physical distress.
Typically, school personnel, including teachers and administrators, are required to file reports of harassment, intimidation, and bullying when they witness such incidents or when they are made aware of them.
To fill out a harassment, intimidation, and bullying report, one should gather all relevant details including the names of the individuals involved, a description of the incident, dates, and any witnesses, and then complete the specific reporting form provided by the organization or institution.
The purpose of addressing harassment, intimidation, and bullying is to create a safe and supportive environment where individuals can feel secure and respected, and to take appropriate action to prevent further incidents.
Information that must be reported typically includes the names of the victim and perpetrator, the details of the incident, when and where it occurred, as well as any witnesses and the nature of the bullying behavior.
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