Report Harassment, Intimidation or Bullying (HIB) Directed at Student(s)

Harassment, intimidation or bullying (HIB) Form

Required

Under Board Policy and Regulation 3207/3207R, harassment, intimidation or bullying of a student means any intentional electronic, written, verbal, auditory or physical act, including, but not limited to one shown to be motivated by any characteristic or race, color, religion, ancestry, national origin, gender, sexual orientation, including gender expression or identity, mental or physical disability or other distinguishing characteristics such as, but not limited to, physical appearance, clothing or other apparel, socioeconomic status, marital status or weight, when the intentional electronic, written, verbal, auditory or physical act:

  • Physically harms a student; or
  • damages the student’s property; or
  • has the effect of substantially interfering with a student’s education; or
  • is so severe, persistent or pervasive that it creates an intimidating or threatening educational environment; or
  • has the effect of substantially disrupting the orderly operation of the school.

If you believe that an incident of harassment, intimidation or bullying is and/or has been directed at a student in the educational environment, please complete the document below.

If you would like to make a report of improper conduct directed at an adult, please contact the District’s Civil Rights Coordinator at civilrights@tacoma.k12.wa.us.

Must contain a date in M/D/YYYY format
Area where the incident(s) happenedCheck all that apply:​​
Check all that apply:​​
What the aggressor didCheck all that apply:​
Check all that apply:​
Physical injuries resulting from incidentCheck all that apply:​
Check all that apply:​

Additional Questions?

If you have questions about this form or any conduct directed at a student, please contact:

Wayne A. Greer
HIB Coordinator
(253) 571-1191
wgreer@tacoma.k12.wa.us

If you have questions about conduct directed at an adult, please contact:

Tiffany Davis-Brantley
Civil Rights Coordinator
(253) 571-1252
civilrights@tacoma.k12.wa.us