KCSD-Sexual Conduct Complaint Form
Name of complainant:
Your answer
Position of complainant:
Your answer
Date of Complaint
MM
/
DD
/
YYYY
Name of person allegedly engaging in sexual conduct:
Your answer
Date and place of incident or incidents:
Your answer
Description of sexual conduct:
Your answer
Name of witnesses (if any ):
Your answer
Evidence of sexual conduct, i.e., letter s, photos, etc. (attach evidence if possible):
If there is physical evidence please send or bring items to: Klamath County School District Office
Your answer
Any other information:
Your answer
To Print and Complete Form
You can print this form and mail it by visiting the following site:

http://policy.osba.org/klamathcty/J/JHFF%20R%20D1.PDF

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