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Supporting Unique Learners
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504 Grievance Form
504 Grievance Form
This form requires Javascript to be enabled for submission and authorization.
*
Required
Section 504 Grievance Form
Date
Must contain a date in M/D/YYYY format
Child's Name
*
required
First Name
Last Name
Child's Date of Birth
*
required
Complainant's Name
*
required
Address
School
*
required
Morris Early Childhood Center
Benjamin Banneker Elementary
Lulu Ross Elementary
Mispillion Elementary
Milford Central Academy
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.
Submit
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