Uniform Complaint Procedures - Long Beach Unified School District
Uniform Complaint Procedures - Long Beach Unified School District
Uniform Complaint Procedures - Long Beach Unified School District
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Date Received:<strong>Uniform</strong> <strong>Complaint</strong> <strong>Procedures</strong>The <strong>Uniform</strong> <strong>Complaint</strong> <strong>Procedures</strong> (UCP) may be used for complaints alleging non-compliance of state and federal lawsand regulations governing educational programs or discrimination. Most parents’/guardians’ concerns can be resolvedinformally with the school principal. If this is not possible, this form may be used to file a formal complaint.I. Contact informationNameAddressCity State Zip CodeHome PhoneWork or Cell PhonePlease check Parent/Guardian Student <strong>District</strong> Employee OtherII. <strong>Complaint</strong>Date<strong>School</strong> site of alleged violationSubject of the complaintPlease check all that applyDiscrimination on the basis of (circle all that apply): age, sex, sexual orientation, gender, ethnicgroup identification, race, ancestry, national origin, religion, color, or mental or physicaldisabilityViolation of law or regulation governing the following program(s): Adult Education Career/Technical Education Child Development Special Education Nutrition Services Consolidated Categorical Aid such as:o No Child Left Behindo Economic Aid Impacto Migrant Education Programo Peer Assistance and Reviewo <strong>School</strong> Improvement Programo Tenth Grade Counselingo Tobacco Use Prevention Educationo Other(Continued)Rev. 2/07
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