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Anti-Bullying
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Lucas County Sheriff's Office
Anti-Bullying Initiative
Information Fact Sheet
Reporting Person:
*
Phone Number/E-Mail:
*
School Name:
*
School District:
*
Police Jurisdiction:
Type of Incident:
Report of Bullying
Yes
No
Weapons in School
Yes
No
Threats                                 
Yes
No
Fight
Yes
No
Other
Yes
No
Please describe in detail the incident and provide the names of those persons involved, the date of the incident, location of the incident, potential witnesses and any other useful information you may have:
*
(LCSO 042012)
* indicates required fields.
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