Victoria Independent School District

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VISD Incident Reporting Form

Bullying - Cyberbullying - Sexual Harassment - Dating Violence

Victoria ISD has a strong policy prohibiting bullying. If your child is being bullied or witnesses bullying at school, immediately report the incident to the principal or assistant principal who will then investigate the situation. You or your child can make this report by completing the Incident Reporting Form below or by talking to school officials.

If counseling resources are needed because your child is a bully, victim or witness, please contact your school's counselor.

Alleged Victim/Bully Information:

Name(s) of witnesses to incident:

Incident Information

Did the alleged incident occur on school property?
Answer Required
Did the alleged incident occur at a school-sponsored activity?
Answer Required
Is this the first incident?
Answer Required
Has an adult at school helped you with this complaint?
Answer Required
If a written statement is submitted by a student or parent, it must be signed, dated and attached to this form.
Answer Required
or drag it here.

Agreement

I certify that all statements made on this form are true, correct and complete. Any intentional misstatement of fact will subject me to appropriate discipline. I authorize school officials to disclose the information I provide only as necessary to pursue the investigation.

Confirmation Email