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RFHS Bully Reporting

Please complete the form below. Required fields marked with an asterisk *

IF THIS IS AN EMERGENCY CALL 911This system does not provide emergency services. This system is only used to notify school administration.You may also go directly to any school official (teacher, counselor, principal, etc.) to get help.

Your Name

Answer Required

Who was bullied? (Name and Grade)*

Answer Required

Who did the bullying? *

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When did the bullying happen?*

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Where did the bullying happen?*

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Type of Bullying*

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Verbal

Non-Verbal

Physical

Cyber-Bullying

Other

Briefly describe the incident*

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Any other information that you would like to share?

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