Formal Complaint Form on Behalf of a Student

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Students or parents/guardians/community members who have concerns on behalf of a student and are seeking a specific remedy are asked to follow the procedures outlined in the Communication Guidelines and first seek resolution of the problem with the employee responsible. If that does not meet your satisfaction, please speak to the school Principal or Department head. If you are not satisfied with the informal resolution of your concern at the school site or department level, you may file a written formal complaint by submitting this complaint form to the following email: complaints@ggusd.us or submit it to your child’s school. The Complaint Process outlined in Board Policy 3120 shall be separate and distinct from the complaint process under the Uniform Complaint Procedure and Board Policy 3119 and 4010. If you are not satisfied with the informal resolution of your concern at the school site or department level, you may file a written formal complaint by submitting this online form to the following email: complaints@ggusd.us, or you may complete the fillable form below, print, and submit to your child’s school.

Email *

Name *

Address *

Phone *

I am a: *

Student

Parent

Other:

If parent/guardian, provide student name:

School Name/Department *

The person I am complaining about is:

Certificated Employee (teacher, counselor, psychologist, etc.)

Classified Employee (custodian, bus driver, secretary, etc.)

School/District Administrator

Other:

The name of the person I am complaining about is:

I have discussed my complaint with this person: (Date of conversation)

YYYY

I have NOT discussed my complaint with this person: (Please state why)

I have discussed my complaint with this person's supervisor: (Date of conversation)

YYYY

I have NOT discussed my complaint with this person's supervisor: (Please state why)

Please describe your complaint in detail. You may attach additional pages if necessary.

Individual(s) who could supply additional information about the complaint: (Please include names and contact information.)

What solution(s) are you seeking?

If confidentiality is requested, every effort will be made, but cannot be guaranteed, to respect the confidentiality request of the complainant without compromising the rights of all other parties involved. Please be advised that it is against the law and District policy for anyone to retaliate against someone who was involved in the investigation or the allegations. Therefore, we are reminding all parties not to retaliate, and please report to the Office of Personnel if you feel you have been subject to retaliation for your participation in this process.

Digital Signature *

YYYY

This Complaint Form is provided in accordance with Board Policy 3120, Complaints Against School Employees, approved August 2022, by the Garden Grove Unified School District Board of Education.

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