ANTI-HARASSMENT/BULLYING COMPLAINT FORM
GRANDVIEW HEIGHTS CITY SCHOOLS
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Name of Complainant
Complainant is a: *
Name of Alleged Harasser/Bully
Date of incident(s)
Place of Incident(s)
Description of Behavior *
Name of Witness (if any)
Any Other Information
By submitting this form I agree that all of the information on this form is accurate and true to the best of my knowledge.  By submitting this form electronically, I understand it will be sent to the superintendent of schools so that it may be forwarded to the correct administrator.  If you would prefer to give this form directly to a building administrator, make a copy and deliver it to the administrator.
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This form was created inside of Grandview Heights Schools.