Victim / Bystander Bully Report Form
You can submit the bullying incident here.
City / Town
Name and Grade of Student
Enter the student's name and grade, eg Fred Jones, Grade 10
Date and Time of Incident or Incidents
Your Experience with Bullying
How long has the bullying been going on?
Select the main types of bullying:
Psychological (name calling, insults, threats, racist)
Social Exclusion (not being included all the time)
Cyber Bullying (social media, texting etc)
Have you already reported the bullying? If so, to who?
Do Not Fill This Out