Student Bullying Incident Form

Print and complete this form when presenting it to the school, it is important that they sign it and keep a copy for your records.

This form may be given to any APS staff member

APS staff members are required to submit this form to the principal or designee within 24 hours of receipt. This form is to be confidentiality maintained in accordance with the Family Educational Rights and Privacy Act, 20 U.S.C. § 1232g.

If you need help completing the form, connect with us and one of our volunteers can ​help you.​


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Bullying and other forms of intimidation will not be tolerated in any form and are strictly prohibited by the Georgia law  O.C.G.A. § 20-2-751.4  

School Safety Hotline 877-729-7867 From 8 a.m. to 5 P.m., the operator at the Georgia Department of Education works the hotline.  After 5 p.m. and on weekends and holidays, the hotline calls are transferred to the Georgia Bureau of Investigation. Georgia.