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Carlsbad USD |  E  1312.1  Community Relations

Complaints Concerning District Employees   

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CARLSBAD UNIFIED SCHOOL DISTRICT

COMPLAINT CONCERNING DISTRICT EMPLOYEES

TO: ________________________________________________________________

FROM (Complainant's Name): ___________________________________________

ADDRESS: __________________________________________________________

TELEPHONE NO(s): __________________________________________________

This complaint must include the name of each employee involved and a brief but specific summary of the complaint and the facts surrounding it. It must also include a specific description of a prior attempt to discuss the complaint with the employee involved and the failure to resolve the matter. (Note: The employee shall receive a written copy of the complaint.)

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

Resolution Requested:

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

Signature: _______________________________________ Date: _______________

Exhibit CARLSBAD UNIFIED SCHOOL DISTRICT

version: January 20, 2016 Carlsbad, California