Staff Bullying Report Form

This form is for use by employees, substitutes, and volunteers to report incidents of student bullying.

This form must be completed and submitted within two school days of witnessing or acquiring firsthand knowledge of any bullying incident involving a student.

Employees, substitutes, and volunteers who did not witness or have firsthand knowledge of an incident of bullying but receive a report from someone who did may also use this form.

Bullying frequently involves repeated behavior. If you have witnessed or have knowledge of more than one incident, please provide information on all incidents. Please feel free to use multiple forms.

Please click on the appropriate building level.

Bolivar High School Staff Bullying Incident Report 

Bolivar Middle School Staff Bullying Incident Report 

Bolivar Intermediate School Staff Bullying Incident Report 

Bolivar Primary School Staff Bullying Incident Report