Rainy River District School Board

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Report a Bullying Incident

Notice to the reader: It is unlawful to include false accusations on this form.
What are the names of the students you are concerned about?

If you don't know the name of the student(s), please give us some information that may help us to identify him/her.

Which school does the student attend? *Required.

Do you wish to report this anonymously ?
no   yes

What is your name?

How may we contact you?

Phone Number
Email Address
Please describe the incident in detail, including location, time & date.

Location:   Time:
Date: Details:
Enter the security code*
Information embodied in this report is strictly confidential and is supplied on the understanding that it will be held confidentially and not disclosed to anyone without prior consent.