Egan School Anonymous Bullying Report Form
The District encourages the reporting of bullying incidents to school administrators whenever possible. In cases where confidentiality is a concern, an anonymous incident report may be filled out below. 
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Name of student being bullied: *
Name of alleged bully: *
Relationship to student being bullied: *
School associated with incident: *
Location of incident: *
Reporting date: *
MM
/
DD
/
YYYY
More detail: *
OPTIONAL:
If comfortable, please provide us with contact information below
Name:
Email address:
Phone number:
Submit
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