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It provides a structured framework for documenting incidents of bullying, defined as repeated actions by students or staff that cause physical or emotional harm, create a hostile environment, or disrupt the educational process. The form collects essential information, including the identities of the target, the alleged aggressor, and any witnesses. It also requests specific details regarding the time, location, and nature of the incident to facilitate thorough investigation and intervention. Additionally, the form prompts the reporter to identify immediate safety concerns and provide historical context regarding whether similar incidents have occurred previously. This form is designed to ensure school administrators receive comprehensive documentation to effectively address bullying behaviors and maintain a safe school environment for all students and staff members in accordance with the district's prevention and intervention policies.",{"@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/wilmington-public-schools-bullying-incident-report-form/352192/",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/wilmington-public-schools-bullying-incident-report-form/352192.png","ImageObject",442,249,{"name":88,"@type":89},"Đào","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-20","2026-09-22",true,{"@type":98,"interactionType":99,"userInteractionCount":79},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What constitutes bullying under Wilmington Public Schools policy?","Question",{"text":108,"@type":109},"Bullying is defined as repeated written, verbal, or electronic expression or physical acts that cause physical or emotional harm, create a hostile environment, or disrupt the educational process.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What information is required to report an incident?",{"text":113,"@type":109},"The form requires the date and time of the incident, location, the identities of the student(s) involved (target and aggressor), witness information, and a detailed description of the event.",{"name":115,"@type":106,"acceptedAnswer":116},"Can reports be made anonymously?",{"text":117,"@type":109},"Yes, the form specifically indicates that the person completing the document can choose to remain anonymous.","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},352192,1791204226,{"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":79,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"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":4},1374402968488,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Wilmington Public Schools  \nBullying Prevention and Intervention Plan  \nWilmington Public Schools Bullying Incident Report Form  \nBullying is the repeated use by one or more students or by a member of school staff including, but not limited to, an educator, administrator, school nurse, cafeteria worker, custodian, bus driver, athletic coach, advisor to an extracurricular activity, or paraprofessional of a written, verbal, or electronic expression or a physical act or gesture or any combination thereof, directed at a target that:  \n● Causes physical or emotional harm to the target or damage to the target’s property;  \n● Places the target in reasonable fear of harm to himself or herself or of damage to his or her property;  \n● Creates a hostile environment at school for the target;  \n● Infringes on the rights of the target at school; or  \n● Materially and substantially disrupts the education process or the orderly operation of a school.  \n| Person Completing Form (can be anonymous): | Today’s Date: |\n| --- | --- |\n| Date and Time of Incident: |  |\n| Where did the incident happen:\u003Cbr>☐ On school property ☐ On a school bus ☐ At a school-sponsored event\u003Cbr>☐ On the way to/from school ☐ At a bus stop ☐ Online\u003Cbr>☐ Other   |  |\n| Who reported the incident? ☐ Parent/guardian ☐ Close adult relative ☐ Teacher\u003Cbr>☐ Staff ☐ Other   |  |\n| Student(s) involved:\u003Cbr>Name of student target: Grade: School: |  |\n| Name of alleged aggressor(s) if known: Grade: School: |  |\n| Name of witness(es): Grade: School: |  |\n| Details of the incident. Please be as specific as possible. (attach a separate sheet and/or other reports/documentation if necessary) |  |\n\nTo your knowledge, has this occurred before? Are there immediate safety concerns?  \n☐ YES ☐ NO ☐ YES ☐ NO","cbCaiah7nYJkxa7f","https://ap.wps.com/l/cbCaiah7nYJkxa7f","pdf",161255,"English","# Bullying Definition and Reporting\n## Incident Documentation Details","[{\"question\":\"What constitutes bullying under Wilmington Public Schools policy?\",\"answer\":\"Bullying is defined as repeated written, verbal, or electronic expression or physical acts that cause physical or emotional harm, create a hostile environment, or disrupt the educational process.\"},{\"question\":\"What information is required to report an incident?\",\"answer\":\"The form requires the date and time of the incident, location, the identities of the student(s) involved (target and aggressor), witness information, and a detailed description of the event.\"},{\"question\":\"Can reports be made anonymously?\",\"answer\":\"Yes, the form specifically indicates that the person completing the document can choose to remain anonymous.\"}]","Wilmington Public Schools - Bullying Incident Report Form | PDF",1790098257]