Disclaimer: The purpose of this tip line system is to report situations so they can be taken care of in a positive and respectful manner. Your report will not be traced in any manner.

Person Being Bullied
*This is very important to help out the situation

Name of person inflicting harm
Who is the bully?

A description of what is going on

Date of bullying: (mm/dd/yyyy)
Location of bullying:

Is this a "one time" or an "ongoing" issue?
One Time

Name of Witnesses
Your contact information.
This is NOT required, but no formal disiplinary action will be taken solely on anonymous reports.

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