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504 Grievance Form

Required

 

Section 504 Grievance Form

Date
Must contain a date in M/D/YYYY format
Child's Namerequired
First Name
Last Name
Child's Date of Birthrequired
Complainant's Namerequired
Address
Schoolrequired
Please describe your concerns and why you believe they raise an issue under section 504. Include a description of what happened, when and where it happened, and who was involved.
Explain the steps you have already taken to resolve the issue, if any.
Describe what resolution to your concerns you would like to see.
Please provide any other information you think will help with the investigation of your complaint.