Bullying/Harassment Reporting Form


The State Department of Education (SDE) staff shall monitor school districts for compliance with the Oklahoma School Security Act 70 O.S. § 24-100.4, and may initiate a compliance review upon receipt of evidence which indicates frequent or systemic noncompliance with 70 O.S. § 24-100.4. The SDE does not have the authority to investigate complaints of bullying or harassment. This information is submitted solely for monitoring compliance with the state bullying statutes. All information below must be provided in order for your complaint to be evaluated by the SDE staff. This complaint may be shared with district officials by SDE staff during the compliance review process.

Resources available to parents on the SDE Prevention web site. In addition, resources are available to students and their families for bullying prevention and reporting on the bullying prevention page.

What the OSDE CAN do:

  • Monitor schools and districts to make sure they are following the law and their policies on bullying/harassment
  • Contact school officials and share the report you have made
  • Contact you following this report
  • Share this form with school officials and other necessary groups and individuals (police, department of human services, attorneys, etc.)

What the OSDE CANNOT do:

  • Investigate reports of bullying or harassment
  • Hire or fire any district personnel
  • Enforce or change consequences issued to a student
Requestor
Incident Details
:
Please list ALL witnesses by name, including staff and/or students.
*If any of the above categories apply and you are not receiving help from the district, contact the U.S. Department of Education’s Office of Civil Rights to file a complaint. Harassment or bullying based on sexual orientation or gender is illegal under Title IX. The School Safety and Bullying Prevention Act at 70 O.S. § 24-100.4(A) requires each public school district board of education to adopt policies to address investigation of reported incidents of bullying. This model policy is provided to school districts in accordance with the provisions of the School Safety and Bullying Prevention Act at 70 O.S. § 24-100.5(C)(1). Local school districts and local school boards may use this policy as a model or develop their own policies that comply with the requirements of 70 O.S. § 24-100.4 and accompanying regulations at 210:10-1-20. The SDE does not investigate bullying incidents. The SDE helps ensure that schools are following the bullying policy they are required by law to have in place. When anyone reports a bullying incident, we ask that contact be made to the principal. If concerns are not satisfactorily addressed, then the district superintendent may be contacted. If not satisfied, then the local school board should be contacted.
Attachments
Please attach ALL documentation you have available. This may include written correspondence (letters, emails, texts, etc.) with the teacher, counselor, principal, superintendent, school board, etc.; Photos, Videos, Audio, Police report, Emails, Screenshots, Etc.
File Formats: Gif, Jpg, Png, Bmp, Txt, Doc, Docx, Pdf, Ppt, Pptx, Xls, Xlsx, Avi, Mov, Mp3, Zip
Files must be less than 0 bytes.
Allowed file types: gif jpg png bmp txt pdf doc docx ppt pptx xls avi mov mp3 zip.
File Formats: Gif, Jpg, Png, Bmp, Txt, Doc, Docx, Pdf, Ppt, Pptx, Xls, Xlsx, Avi, Mov, Mp3, Zip
Files must be less than 0 bytes.
Allowed file types: gif jpg png bmp txt pdf doc docx ppt pptx xls avi mov mp3 zip.
File Formats: Gif, Jpg, Png, Bmp, Txt, Doc, Docx, Pdf, Ppt, Pptx, Xls, Xlsx, Avi, Mov, Mp3, Zip
Files must be less than 0 bytes.
Allowed file types: gif jpg png bmp txt pdf doc docx ppt pptx xls avi mov mp3 zip.
File Formats: Gif, Jpg, Png, Bmp, Txt, Doc, Docx, Pdf, Ppt, Pptx, Xls, Xlsx, Avi, Mov, Mp3, Zip
Files must be less than 0 bytes.
Allowed file types: gif jpg png bmp txt pdf doc docx ppt pptx xls avi mov mp3 zip.
By selecting Yes, I understand that my report could be shared with school officials or other necessary groups or individuals. I understand that the OSDE cannot investigate my claim. I understand that the OSDE monitors schools and districts to make sure they are following the law and their policies on bullying and harassment.
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Last updated on March 15, 2019