JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Eastern Howard Local Civil Rights Compliance Log
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Please enter your name.
*
Your answer
Please provide an eMail address.
*
Your answer
Please provide a phone number.
*
Your answer
What is the best method to contact you?
*
Phone
eMail
Required
Please provide a short description of your complaint.
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Eastern Howard School Corporation.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
