SCHOOL  BULLYING  REPORT

If you see online bullying such as texts or email, do not forward or respond.  Take screen captures of them for evidence.   Please fill out the form below and hit Submit Form.  We will contact you shortly.

PAGE COUNTY SHERIFF’S OFFICE

SCHOOL BULLYING REPORT

What school or location is the bullying occurring in/around? *

What Grade(s) are involved? *

What kind of bullying is happening? Check all that apply: *

• Verbal Bullying
• Threats of Physical Violence
• Physical Violence
• Cyber Bullying
• Harmful Photos or Video

Describe the bullying *

Name(s) of those being bullied *

Name(s) of those who are doing the bullying *

Name of Point of Contact *

First

Last

Contact Phone Number *

Relationship to those being bullied *

Submit