[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-352197-105":53,"doc-detail-352197-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","bullying-incident-report-form-complete-and-submit","Bullying Incident Report Form - Complete and Submit","","Bullying Incident Report Form used to document an alleged bullying event with structured prompts for when and where it occurred, including school, bus, or other locations plus incident frequency and time. The form records involved parties, such as the target, students who bullied, witnesses or bystanders, and the staff member first informed. It captures bullying type (verbal, physical, emotional, social, cyber) with space for statements, then details actions taken by the targeted student, steps taken by the school, supports for each group, restorative practices, consequences, and additional information for administrators.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/bullying-incident-report-form-complete-and-submit/352197/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/bullying-incident-report-form-complete-and-submit/352197.png","ImageObject",442,249,{"name":88,"@type":89},"Adam","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-20","2026-09-22",true,{"@type":98,"interactionType":99,"userInteractionCount":47},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What information is required to report when and where the bullying happened?","Question",{"text":108,"@type":109},"The form requests the school name, the date of the bullying incident, approximate frequency, the time of the incident, and the incident locations (e.g., on school property, on the bus, or off school property).","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How does the form capture who was involved in the incident?",{"text":113,"@type":109},"It collects names of the target, the students who bullied, witnesses or bystanders, and the staff member first informed.",{"name":115,"@type":106,"acceptedAnswer":116},"What actions and follow-up steps are included after the incident?",{"text":117,"@type":109},"It includes actions taken by the targeted student and by the school, such as discussions, referrals, contacting parents, interviews, creation of a safety plan if needed, student supports for all involved, restorative practices, consequences, and additional information.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},352197,1791338902,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":47,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":47,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":73},1374404737137,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Bullying Incident Report Form  \nDate of Report:    \n\n| A. When and where did the incident occur? |  |\n| --- | --- |\n| School Name |  |\n| Date (s) of Bullying Incident |  |\n| Approximate Frequency | Please check the answer that best describes the frequency:\u003Cbr>First occurrence ☐ Once or twice a month ☐ A few times a week ☐ Once a week ☐\u003Cbr>Daily ☐ |\n| Time (s) of incident | Please check the corresponding time(s) and indicate the exact time if Relevant:\u003Cbr>Before school ☐ After school ☐\u003Cbr>Morning instructional time ☐ Afternoon instructional time ☐\u003Cbr>Morning recess ☐ Lunch recess ☐ Afternoon recess ☐\u003Cbr>Exact time if relevant:   |\n| Location(s) of Incident | Please check all locations that apply:\u003Cbr>On school property ☐\u003Cbr>On the bus ☐\u003Cbr>Off school property ☐ |\n\n\n|  | Cyber (e.g. , online/social media/text) ☐ Where specifically did the incident(s) occur:\u003Cbr>____________________________________\u003Cbr>___________________________________ |\n| --- | --- |\n\n\n| B. Who was Involved? |  |\n| --- | --- |\n| Name (s) of the target |  |\n| Name(s) of the students who bullied |  |\n| Name(s) of witnesses / bystanders |  |\n| Staff Member first informed |  |\n\n\n| C. What form of bullying too place? Check all that apply. Record Statements. |\n| --- |\n| Verbal ☐ Physical ☐ Emotional/ Psychological/Social ☐ Cyber ☐\u003Cbr>Describe the incident: |\n\nStatement from targetted student(s) :  \nStatement from student(s) who bullied:  \nStatement from Witness(es) :  \nStatement from staff informed:  \n| D. Action taken by the targeted student following the bullying incident. |\n| --- |\n| Discussion with the student(s) who bullied, asking them to stop the bullying behaviour ☐ |\n| Discussion with a parent/guardian ☐ |\n| Referral to a staff member ☐ |\n| Referral to the principal ☐ |\n| Online support (e.g. , Kids Help Phone) ☐ |\n| Told a friend ☐ |\n| Referral to police ☐ |\n| Other: |\n\n\n| E. Action Taken by School: |\n| --- |\n| 1. Interviewed target ☐\u003Cbr>2. Interviewed Student(s) who bullied ☐\u003Cbr>3. Interviwed Bystanders ☐\u003Cbr>4. Contacted Parents of targeted student ☐\u003Cbr>5. Contacted Parents of student(s) who bullied ☐\u003Cbr>6. Creation of safety plan if necessary (signed and dated by parents) ☐ |\n| Student Supports-Supports provided for the targeted student? |\n\n\n|  |\n| --- |\n| Student Supports-What supports provided for the student(s) who bullied? |\n| Student Supports-What supports provided fo the bystanders? |\n| Restorative Practices-What will be done to encourage positive relationships between all involved? What can be done to assist in resolving and healing the conflict? |\n| Consequences administered: |\n| Additional Info: |\n\nAdministrator Name  \nSubmit this form to Superintendent of Student Services","cbCaid9KKRaPUTRQ","https://ap.wps.com/l/cbCaid9KKRaPUTRQ","pdf",75130,"English","# A. When and where did the incident occur?\n## School details\n## Incident time and frequency\n# B. Who was involved?\n# C. What form of bullying took place?\n# D. Action taken by the targeted student\n# E. Action taken by school\n## Interviews and parent contact\n## Supports, restorative practices, consequences\n## Additional information","[{\"question\":\"What information is required to report when and where the bullying happened?\",\"answer\":\"The form requests the school name, the date of the bullying incident, approximate frequency, the time of the incident, and the incident locations (e.g., on school property, on the bus, or off school property).\"},{\"question\":\"How does the form capture who was involved in the incident?\",\"answer\":\"It collects names of the target, the students who bullied, witnesses or bystanders, and the staff member first informed.\"},{\"question\":\"What actions and follow-up steps are included after the incident?\",\"answer\":\"It includes actions taken by the targeted student and by the school, such as discussions, referrals, contacting parents, interviews, creation of a safety plan if needed, student supports for all involved, restorative practices, consequences, and additional information.\"}]","Bullying Incident Report Form - Complete and Submit | PDF",1790098265]