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I developed this form so we could track reports of potential bullying. All staff were responsible for completing the top portion of the form ANY TIME the word "bullying" was used or suspected. This means any time a child or parent reported something as bullying, the incident was logged. A copy was put in the master binder (located in the main office/principal's office/counseling office/etc.) and the individual who completed a form kept a copy. The incidents included investigation and follow up by administrative or counseling staff. Only significant incidents that were found to be "bullying" and included disciplinary action were reportable to the state. Many incidents were isolated incidents of students being "mean," a conflict between friends, or a misunderstanding/misperception. However, the use of this form and tracking incidents in the binder with follow up did allow us to determine which incidents constituted "bullying" and could then be dealt with as such. It also allowed us to put preventive programs in place, and target SEL skills (conflict resolution) to teach and practice with students. Please feel free to edit the form for your school. Hopefully it is useful, and you can reduce bullying incidents/reports for your school.