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Albertville City Schools Bullying/Harassment Incident Report Form

Required

NOTE: Administrator MUST be notified for all bullying/harassment claims.
 
A student, parent or guardian, or staff member may file a complaint of harassment, intimidation, or bullying pursuant to Board policy. Complete this form which will be forwarded to the building principal. Results of the investigation will determine the disciplinary action taken. A complainant that falsely accuses someone will also be subject to disciplinary action. Parent/guardian must be contacted. Leaving a message is not a parent/guardian contact.
Role at ACSrequired
School Buildingrequired
Must contain only letters and spaces
Type of Bullying/Harassment Alleged
Check All Spaces That Applyrequired
0 / 1000
Attach up to 5 files with a maximum size of 20MB
No file chosen
Physical Injury?required
Resource Officer/Police Department Notified?required
School Administrator Notifiedrequired
Signature of SubmitterrequiredA complainant that falsely accuses someone will also be subject to disciplinary action.
A complainant that falsely accuses someone will also be subject to disciplinary action.