Reporting School Incidents to the Bullying & Safety Hotline

Serious incidents (i.e., assaults, gangs, harassment, etc) that occurred in school or while traveling to and from school can be reported by:

Please review the below Bullying/Safety Hotline Frequently Asked Questions for additional reporting information.

Bullying & Safety Concern Form

Full Name	*
Relation to Student	Father/Mother Legal Guardian Self/Student *
Student Name	*
Address	*
City, State, Zip Code	*
Contact Phone Number	*
Contact Email Address
School Name	*
Type of Comment or Concern	Attendance & Truancy Bullying/Cyber-Bullying Harassment (Verbal/Physical) Safety (Threats/Violence) Other *
Comments or Concerns	*
How can this concern be resolved?	*
Verify Your Humanity

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