Click here to download the Equity Complaint Form
Distribution of Form: (Equity Coordinator)
Name of Complainant: | |
Building: | |
Date of Filing: | |
Date Violation Occurred: | |
Date Level I Meeting Held (Optional): | |
Parties Present at Level I Meeting: | |
Nature of Complaint:
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Remedy Requested:
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Signature: | |
Date Signed: | |
Address: | |
Phone: | |
Disposition of Chief Officer of Human Resources/Equity Coordinator:
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Signature: | |
Date Signed: | |
Chief Officer of Human Resources/Equity Coordinator's Disposition (Accepted or Rejected):
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Signature of Complainant: | |
Date Signed: | |
Disposition of Superintendent:
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Signature: | |
Date Signed: |
Reviewed: 9/14; 12/16; 4/20; 4/23
Related Policy: 400.1