Exhibit 106b - Grievance Documentation


Name of Individual Alleging Discrimination or Non-Compliance:

Name ______________________________________________________

Signature ____________________________________________________

Date of Grievance ______________________________________________

State the nature of the complaint and the remedy requested.

Indicate Principal's or Supervisor's response or action to above complaint.

Signature of Principal or Supervisor ________________________________

Adopted: 08/18/14
Reviewed: 08/04/14; 08/05/19

Legal References:

Cross Reference:

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