North Carolina State Board Of Education Legal Affairs Office (Page 3 of 3) in pdf

North Carolina State Board Of Education Legal Affairs Office Page 3

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Thank you for providing this report. The State Board of Education, Legal Affairs Office, will

review the information submitted and determine if any further information is needed in which case,

the person who submitted this form will be contacted. Please be advised that under G.S. §115C-13

“Except as otherwise provided by federal law, local boards of education and their officers and

employees shall provide to the State Board and to the Superintendent all information needed to

carry out their duties.”

The Legal Affairs Office will notify the contact person on this form if no discipline is warranted.

All information submitted to the State Board of Education, Legal Affairs Office is confidential and

not a public record pursuant to Chapter 132 of the General Statutes.

Please fax (919-807-3198) or mail all documentation to:

State Board of Education

Legal Affairs Office

MSC 6302

Raleigh, NC 27703

If you need assistance in completing this form, please contact the Legal Affairs Office at (919) 807-

3369 or by email to

joan.champagne@dpi.nc.gov

Completion and submission of this form does not relieve school employees of their statutory duty

to report known or suspected child abuse to the appropriate child services or law enforcement

agency.

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Signature and Title

Date

North Carolina State Board Of Education Legal Affairs Office Page 3