TITLE IX Sexual Harassment COMPLAINT Form
Use this form if you are the ALLEGED VICTIM of sexual harassment.  If you have knowledge of what you believe to be sexual harassment to someone else, please complete the REPORTING form instead of this form. You must complete all required fields and click SUBMIT for this form to be submitted.
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Email *
Safford Unified School District complies with federal and state laws prohibiting unlawful discrimination based on race, color, national origin, sex, disability and age in its programs and activities.  Any person that believes they have been harassed or discriminated against based on his/her sex can file a complaint under this procedure by contacting the School’s Title IX Coordinators as follows:

Mr. Kent Baldwin
Title VI, IX, Section 504 Coordinator
734 11th Street Safford, AZ 85546
(928) 348-7052
Complainant (you) Name: *
Address: *
Telephone: *
Alternate Telephone (optional)
My complaint is against: *
Name of person, school (department), program, or activity
Address (if applicable)
Specify your complaint by stating the problem as you see it. *
Describe the incident, the participants, the background to the incident, and any attempts you have made to solve the problem. Make sure to include: (A) The specific incident or activity that is alleged to be in violation of Title IX (B) The name of all individuals involved (C) Dates, times, and locations involved.
Describe any relevant communication that has already occurred to address the issue.
Please specify the types of communication, dates of communication, and names of individuals with whom any communication has occurred.
If there is anyone who could provide more information regarding this complaint, please list name(s), address(es), and telephone number(s):
The projected solution - Indicate how you would like the problem to be solved.
Be as specific as possible.
I affirm that I myself am completing this form and I have provided truthful information above. * *
Type name below
Please click submit below.
This form will then be sent to the Title IX Coordinator.
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