Bullying Incident Report Form

Bullying Incident Report Form

Bullying Incident Report Form

Section 1: Contact Information (Optional)

Instructions:

Fill out this form to report an incident of bullying, harassment, or workplace abuse.
Your information will be treated confidentially, and you may choose to remain anonymous.
If you need immediate assistance, please contact us at 07036930277, info@edrcentre.org

Name
Name
First Name
Last Name

Section 2: Incident Details

Type of Bullying (Check all that apply)

Section 3: Incident Details

Section 4: Additional Information

Staff/Supervisor Notified?
Any Physical Injuries or Property Damage?

Section 5: Follow-up

Would you like to be contacted for follow-up?
Preffered Contact Method

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