Forms → Staff → Student → Bullying, Harassment, or Intimidation Incident School Investigation Form

Bullying, Harassment, or Intimidation Incident School Investigation Form

About this Form

Form number: 230-36

Audience:  School Staff

Last revised: November 2021

Related Forms

Form 230-35 - Bullying, Harassment, or Intimidation Reporting Form

Instructions: Upon receipt of MCPS Form 230-35, Bullying, Harassment, or Intimidation Reporting Form, the school principal/designee must
promptly conduct an adequate, reliable, and impartial investigation. The investigation must be documented by completing this form. Complete
one form for each alleged student victim. The school principal/designee will contact the parents/guardians of all students involved in the
incident of bullying, harassment, or intimidation within three days of receiving MCPS Form 230-35. (Board Policy JHF, Bullying, Harassment, or
Intimidation, MCPS Regulation JHF-RA, Bullying, Harassment, or Intimidation and Board Policy ACA, Nondiscrimination, Equity, and Cultural Proficiency.)

Adobe PDF Bullying, Harassment, or Intimidation Incident School Investigation Form220 KEnglish

Forms require Adobe Acrobat Reader 8 or higher. Get Acrobat