Bullying & Safety Report Form If you have a safety concern, please report it! Students should report all incidents to an adult at school and to an adult at home. If a student, parent, or community member is not comfortable making a report directly, they may use this online form to report tips involving bullying, harassment, intimidation, weapons, drugs, or suicide. Forms are routed to district leadership, building principals, and/or counselors to intervene. Please note, you are not required to share your personal information, but your contact details will be helpful in investigating the incident and following up with you. If you fear a student is in immediate danger, contact the police. I am a StudentFamily MemberFriendCommunity Member If reported to you by someone else, indicate who: Type of Safety Concern BullyingHarrassmentIntimidationWeaponsDrugsSuicideOther School Harvard High SchoolHavard Junior High SchoolJefferson ElementaryCrosby ElementaryWashington School Location of incident BathroomBusBus stopCafeteriaClassroomHallwayLockerroomPlaygroundTransmitted electronicallyOther Date of incident Approximate time of incident morningafternooneveningnight Please describe the incident or safety concern. Additional information Is this a repeated/persistent action or concern? ---YesNo Again, you may remain anonymous, but your contact details will be helpful in investigating the incident and following up with you. Your name Email Phone Number Have you notified anyone else about this issue? If yes, who?