Citizen Complaint Against An Employee Of The San Diego Unified School District (Page 2 of 2) in pdf

Citizen Complaint Against An Employee Of The San Diego Unified School District Page 2

Date(s) and name(s) or other persons with whom you discussed the complaint:

__________________________________________________________________________________________

_________________________________________________________________________________________

Result of the discussion(s):

__________________________________________________________________________________________

What outcome are you requesting to resolve your issue?

__________________________________________________________________________________________

I (We) understand that the San Diego Unified School District may request from me (us) further information

about this complaint, and if such information is available, I (we) will present it upon request.

I (We) also understand that a copy of this complaint will be given to the person(s) against whom this complaint

is being made, and that he/she (they) will be given the opportunity to respond in writing to this complaint.

I (We) also understand that if a hearing is held on this complaint by the Board of Education or a committee

thereof, such hearing will be held in closed session with the press and public excluded, and that I (we) will be

informed of the time, date, and place such hearing will be held.

I (We) certify under penalty of perjury that the foregoing is true and correct. Executed this _________day of

________________, 20___, at San Diego, California.

Signatures

_______________________________________

NOTE: ORIGINAL TO BE SENT TO APPROPRIATE DEPARTMENT ADMINISTRATOR OR SUPERVISOR

Pr9430Rev. June 2012

FORM – CITIZEN COMPLAINT AGAINST EMPLOYEE

Citizen Complaint Against An Employee Of The San Diego Unified School District Page 2