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Report Bullying
Report Bullying
This form requires Javascript to be enabled for submission and authorization.
*
Required
Madison School District views bullying as serious. Use the form below to report an incident of bullying.
Name
*
required
First Name
Last Name
Email Address
*
required
Your Phone Number
*
required
How did you find out about this?
*
required
Where did this happen? (location)?
*
required
When did this happen? (day and time)
*
required
Who did the bullying or harassment?
*
required
What type of bullying or harassment took place?
*
required
Explain what took place in your own words:
*
required
Would you like to be contacted?
*
required
Yes
No
How should we contact you?
*
required
Phone
Email
Phone or email
Don't contact me
When would you like to be contacted (Date and Time)?
Submit