Croton- Harmon UFSD Health and Safety Committee
Please fill out the form below if you have a health and/or safety complaint. Each report is taken very seriously and is fully investigated. We will treat each report with the highest level of confidentiality and sensitivity. A co- chair will follow up in writing with you in a timely manner.
*If the complaint is a life threatening concern please contact a District Administrator
Name of person filing complaint: *
Email address: *
Phone: *
I am a: *
Please describe your complaint: *
Please include the date, time, and location where the health/safety complaint occurred: *
Location of complaint: *
Required
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