Lennox Bullying Report Form
Use this form to report an incident of bullying you have experienced or witnessed.
  • Choose the site where the incident occurred.
  • Please tell us who you are.
  • Please give your name. If you want to be notified of follow-up, you must provide your name.
  • Incident Information

    Please complete the following to tell us about the incident.
  • Who was the person being harmed, bullied, harassed, or intimidated?
  • Who was the person bullying, harassing, intimidating, or causing harm?
  • Where did the incident occur?
  • / / :
    When did the incident occur?
  • Please describe the incident in as much detail as possible.
  • If there is any evidence available, please choose from the list. Choose as many options as you have available.
  • If you chose other, please indicate what that evidence is.
  • Contact Information

    If you want to be notified of followup to the incident, or if you want to make yourself available in case we have questions, please provide some contact information.
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