Complaint Form
FRANKLIN-McKINLEY SCHOOL DISTRICT
645 Wool Creek Drive
San Jose, California 95112 (408) 283-6000
DATE: ____________
NAME OF COMPLAINANT: _________________________
______________________________________________
(Complainant's Address) (Phone Number)
1. Date Cause of Complaint Occurred: _________________
2. Statement of Complainant (Please identify the name of the individual who you are filing the complaint against.):
(You may use additional pages to describe your complaint more fully if you desire.)
3. Identify the Specific Provisions of the District's Policies, Collective Bargaining Agreements, Laws or Regulations which you believe have been Violated:
4. Identify the Specific Relief/Remedy you are Seeking:
5. Has the complaint been discussed with the named individual? Why/Why Not
___________________________________________________
(Signature) (Date)
COMPLAINT FORM
FRANKLIN-McKINLEY SCHOOL DISTRICT
645 Wool Creek Drive
San Jose, California 95112 (408) 283-6000
In the matter concerning __________________________,
as detailed in a written complaint dated ____________, 19_______,
the following facts have been determined:
Based on these findings, the following action has been taken:
It is recommended that further action be taken, as follows:
___________________________________________________
(Signature of Administrator) (Title) (Date)
FRANKLIN-MCKINLEY SCHOOL DISTRICT
San Jose, California