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COVID Complaint Form
Please use this form if covid procedures are not being followed. Anonymous reports are accepted.
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School Site/ Department of Incident
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Your answer
Description of Incident/breach of protocol:
*
Your answer
Date of Incident
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MM
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DD
/
YYYY
Your Name (This will be kept confidential and only used to contact you for more information. You may skip this question to remain anonymous.)
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Your Role
*
Parent/Guardian
Student
Community Member
Certificated Employee
Classified Employee
Other:
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Your Email Address (This will be kept confidential and only used for follow up. You may skip this question to remain anonymous)
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