Report an Improper Disclosure to Carle Place Schools
Parents, eligible students (students who are at least 18 years of age), principals, teachers, and employees of an educational agency may file a complaint about a possible breach or improper disclosure of student data and/or protected teacher or principal data using this form.  Please do NOT include any information in this form that would constitute student PII (personally identifiable information).
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Email *
1.  First Name *
2.  Last Name *
3.  Phone Number *
4.  Email Address *
5.   Role of Individual or Entity Making the Complaint *
Possible Improper Disclosure or Breach Information
6.  Description of Event(s): *
7.  Please describe the specific Personally Identifiable Information (PII) that was disclosed. IMPORTANT: Please do not reference the actual PII that was disclosed. Please only reference the PII by name (i.e. “the student's social security number” or “the student's birth date.”) *
8.  Description of How Reporter Learned of Possible Disclosure: *
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