Bullying Incident Report

Bully Incident

Jarrell Independent School District takes bullying very seriously. If you are being bullied or have witnessed bullying take place, please complete the following form to report the incident.

Please complete the form below. Mandatory fields marked *

Where did the incident occur?: *
Were there any witnesses?:*
Yes No
Please identify the witnesses: *
Please describe the incident: *
Tell us what the bully did to the vicitm: *
Date of incident: *
Your Last Name: *
Your Phone Number: *
Your Grade: *

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