External Complaint Form
This form is to be used for complaints by parents against third parties or employees
School Your Child(ren) Are Enrolled With *
Your Name *
Your answer
Today's Date *
Your answer
Date of Alleged Incident(s) *
Your answer
Name of Person(s) you have a complaint against *
Your answer
List Any Witnesses That Were Present *
Your answer
Where Did The Incident(s) Occur *
Your answer
Please describe the events or conduct that are the basis of your complaint by providing as much factual detail as possible *
i.e. specific statements; what, if any, physical contact was involved; any verbal statements; what did you do to avoid the situation, etc. Box will expand to allow as much space as is needed.
Your answer
I hereby authorize the School to disclose the information I have provided as it finds necessary in pursuing its investigation. I hereby certify that the information I have provided in this complaint is true and correct and complete to the best of my knowledge and belief. I further understand providing false information in this regard could result in disciplinary action. *
Typing your name in this box will act as an electronic signature for this document
Your answer
Your Phone Number For Follow Up (as needed) *
Your answer
Your Email Address *
This is the address that the Determination Notice will be sent to at the conclusion of the investigation.
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Innovative Education Management. Report Abuse - Terms of Service - Additional Terms