Bullying Anonymous Report
Victim's Name

 
Victim's Sex
*
Victim's Grade
Victim's Age

 
Bully's Name

 
Bully's Sex
Bully's Grade
Bully's age (if known)

 
School

 
Today's Date

 
Where did the incident occur?

 
When did the incident occur?

 
Time
 
Please describe, in as much detail as possible, what happened.

 
Do you know any of the witnesses involved? If so, please provide as much
detail as possible about these people.

 
List evidence of bullying if any.