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400.1-E - Equity Complaint Form

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:

 

 

Remedy Requested:

 

 

Signature:  
Date Signed:  
Address:  
Phone:  

Disposition of Chief Officer of Human Resources/Equity Coordinator:

 

 

Signature:  
Date Signed:  

Chief Officer of Human Resources/Equity Coordinator's Disposition (Accepted or Rejected):

 

 

Signature of Complainant:  
Date Signed:  

Disposition of Superintendent:

 

 

Signature:  
Date Signed:  

 


Reviewed: 9/14; 12/16; 4/20; 4/23
Related Policy: 400.1