Bullying Incident Follow-Up
Incident Details
Date of Incident
Location
Description of Incident
People Involved
Name(s) of Student(s) Affected
Name(s) of Student(s) Involved (Bullying)
Staff Member Completing Follow-Up
Actions Taken
Immediate Actions Taken
Follow-Up Actions/Support Provided
Parent/Guardian Contact
Date of Contact
Method of Contact
Phone
Email
In-Person Meeting
Other
Summary of Discussion
Additional Notes