Bullying Incident Report

Bullying Incident Report
Please use the form below to report an incident of bullying. The information provided will remain confidential and will be shared with the campus administrator who will reach out to you via the method you have selected if further information is required. For information on BISD's policies and procedures for reporting bullying, click here.

If this is an emergency and you feel that you or someone else is in imminent danger, call 911 or district police at 617-7000.
Name*

First NameLast Name
I am a:

ParentStudent
Email*
example@example.com
Phone Number

Area CodePhone Number
Please contact me by:*

PhoneEmail
Where did the incident occur?

On CampusOnline/CyberOn the Bus
Campus Student Attends:
Approximate Date of the Incident:

MonthDayYear
Date
Please describe the incident:
(Be specific - include date, time, specific location, victim(s) and person(s) involved)
Pictures/Videos/Screenshots:

Browse Files
If you have pictures, videos, or screenshots of the incident please upload the here. Cancelof
Should be Empty: