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_____________________ (your street address)
_________________, ____ _________ (city, state zip code)
_________________ (date)
______________________ (name of Principal)
______________________ (name of school)
______________________ (school address)
______________________
RE: ____________________ (first and last name of child)
Dear ___________________, (name of Principal)
My child, _____________,(first name of child) is in the _____ (grade level) at ____________________ (name of
school). At school ______ (s/he) has been bullied and harassed by __________________________ (name of
harasser(s)). This has occurred on _____________ (date or approximate period of time) when
__________________________ (describe as many details of the incident(s) as can be recalled). When this
happened _________________ (name of witness(es)) heard or saw it and _______________________ (their
response(s)). We became aware of this incident when __________________________ (describe how you were
notified).
_____________ (first name of child) was hurt by this bullying and harassment. _______ (She/He) had
____________________________________________________________ (describe physical injuries, emotional
suffering and any medical or psychological treatment required). _____ (Our/My) child has the right to be in a
safe environment at school so _____ (s/he) can learn.
Please send _____ (me/us) a copy of the District policies on bullying and harassment, investigate this problem
and correct it as soon as possible. Please let ______ (me/us) know, in writing, of the actions you have taken to
rectify the situation and to ensure it does not happen again. I expect a response within 5 business days.
Thank you for your prompt attention to this serious problem.
Sincerely,
(Sign in this area)
_______________________ (your name)
CC: _____________________ (name of Superintendent of schools), Superintendent
(Sign and keep a copy for your records)
©2016, PACER Center | 8161 Normandale Blvd, Minneapolis, MN 55437 | (952) 838.9000 | PACER@PACER.org
www.PACER.org | Facebook.com/PACERCenter

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Notifying the School About Bullying – Using a Template Letter - PACER National Bullying Prevention Center

  • 1. _____________________ (your street address) _________________, ____ _________ (city, state zip code) _________________ (date) ______________________ (name of Principal) ______________________ (name of school) ______________________ (school address) ______________________ RE: ____________________ (first and last name of child) Dear ___________________, (name of Principal) My child, _____________,(first name of child) is in the _____ (grade level) at ____________________ (name of school). At school ______ (s/he) has been bullied and harassed by __________________________ (name of harasser(s)). This has occurred on _____________ (date or approximate period of time) when __________________________ (describe as many details of the incident(s) as can be recalled). When this happened _________________ (name of witness(es)) heard or saw it and _______________________ (their response(s)). We became aware of this incident when __________________________ (describe how you were notified). _____________ (first name of child) was hurt by this bullying and harassment. _______ (She/He) had ____________________________________________________________ (describe physical injuries, emotional suffering and any medical or psychological treatment required). _____ (Our/My) child has the right to be in a safe environment at school so _____ (s/he) can learn. Please send _____ (me/us) a copy of the District policies on bullying and harassment, investigate this problem and correct it as soon as possible. Please let ______ (me/us) know, in writing, of the actions you have taken to rectify the situation and to ensure it does not happen again. I expect a response within 5 business days. Thank you for your prompt attention to this serious problem. Sincerely, (Sign in this area) _______________________ (your name) CC: _____________________ (name of Superintendent of schools), Superintendent (Sign and keep a copy for your records) ©2016, PACER Center | 8161 Normandale Blvd, Minneapolis, MN 55437 | (952) 838.9000 | PACER@PACER.org www.PACER.org | Facebook.com/PACERCenter