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Complaint Form

For complaints against an employee or policy of the Anderson Community School Corporation.

1.) Name of the person making the complaint:

Answer Required

Address:

Answer Required

City

Answer Required

State

Answer Required

2.) Name of the person (or contents of the policy) against whom the complaint is lodged:

Answer Required

3.) Nature of the specific charge:

Answer Required

4.) Remedial measures requested:

Answer Required

5.) Date, time, and place of meetings pursuant to prior steps. (If person failed to meet after a proper request or if a step is not applicable, then so indicate):

Answer Required

A.) Step No. 1

Answer Required

B.) Step No. 2

Answer Required

C.) Step No. 3

Answer Required

Signature*

Signature Required

Confirmation Email

Confirmation Email *

Email Required