Lincoln Elementary Bullying Incident Report Form
If you have been the target of or have witnessed the bullying of a Troy R-III student, complete this form and click submit.  Reports of peer mistreatment will be investigated and disciplinary action will be taken according to the handbook .
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Date of Report: *
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Your Name (Students have the right to complete this form anonymously.):
Indicate the appropriate response to the following:  I am a... *
Dates of bullying incidents: *
Name of student being bullied: *
Name of student(s) committing the alleged bullying or harassment: *
Summarize the incident(s) or occurrence(s) of bullying as accurately as possible. *
Name of witnesses (people who have seen the alleged bullying take place):
Have you reported this to anyone else? If no, type no. If yes, tell us who. *
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