
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.)
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Resolution Requested:
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Signature: _______________________________________ Date: _______________
Exhibit CARLSBAD UNIFIED SCHOOL DISTRICT
version: January 20, 2016 Carlsbad, California