2023-2024 Duncanville ISD Bullying/Threat Report Form

2024-2025 Bullying/Threat Report Form

The District prohibits bullying, including cyberbullying, as defined by state law. Retaliation against anyone involved in the complaint process is a violation of District policy and is prohibited.
Date of the Incident*

MonthDayYear
Date
Campus*
Incident Location(s)*

Athletics FieldsBusBus StopCafeteriaCyber and/or Social MediaGym/PEHallwayLocker RoomOutside of SchoolPlaygroundRestroomTo/From SchoolSchool Event/TravelOther
Type(s) of Incident*

School Threat (Active Shooter, Bomb, Weapon on Campus, Etc...)CyberbullyingPhysical BullyingSocial/Relational BullyingVerbal BullyingSuicide ThreatOther
Did you notify a staff member?*

YesNo
Name of Staff Member if Notified
Targeted Student/Victim's Name (list unknown if there is no name)*

First NameLast Name
Targeted Student's Grade*
Alleged person causing harm/Accused Student (list unknown if there is no name)*

First NameLast Name
Accused Student's Grade*
Please describe the incident.*
Would you like to remain anonymous?*

YesNo
Name of Person Reporting Bullying (not required if you desire to remain anonymous).

First NameLast Name
Phone number of person reporting bullying (not required if you desire to remain anonymous)
Please enter a valid phone number.
Please upload any pictures or evidence that you may have that would help to investigate this issue.

Cancelof
Please list any witnesses relevant to the reported incident.
A student who intentionally makes a false claim, offers false statements, or refuses to cooperate with a District investigation regarding bullying shall be subject to appropriate disciplinary action.
Should be Empty:

2024-2025 Bullying/Threat Report Form