Complaint Form
Any student, employee, or community member who believes that they have experienced or witnessed discrimination or harassment may make a complaint by completing this form which is submitted directly to the DPS Discrimination Prevention and Response Coordinator.

Students and DPS employees are encouraged to make a report internally directly to their school's Discrimination Prevention and Response Designee, principal, trusted adult (students), or their HR Partner (employees). Parents and community members are also encouraged to report directly to the school or department where the harassment or discrimination took place or to the Office of Family and Community Engagement at 720-423-3054.
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Email *
First Name of Complainant (the person believed to have EXPERIENCED the harassment or discrimination):                                                       *
Last Name of Complainant: *
How would you describe the Complainant? *
First Name of the Respondent (the person believed to have perpetrated the harassment or discrimination): *
Last Name of the Respondent: *
How would you describe the Respondent?
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Date that the incident took place: *
Location where the incident took place: *
Does the alleged conduct relate to the complainant belonging to any of the following protected classes or any of the following types of potential discrimination? If so, select the applicable option below. *
Please provide a description of the incident in as much detail possible:
Have you already reported this concern to a DPS employee? *
If yes, please note the name(s) of the person to whom you reported and what follow up took place.  
What is your first name? *
What is your last name? *
What is your student or DPS employee ID number (if applicable)?
What is your email address? *
What is your phone number? *
A copy of your responses will be emailed to the address you provided.
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