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Petaluma City Schools |  E  1312.3  Community Relations

Uniform Complaint Procedures   

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COMPLAINT FORM

Name:

Date:

Position (student, teacher, parent, other):

Where you can be reached during daytime hours:

Categorically funded program (please specify is possible):

Explain the nature of the complaint:

Signature:

Exhibit PETALUMA CITY SCHOOLS

version: June 25, 2002 Petaluma, California

revised: April 28, 2009