Free Educational Institution Complaint Form Template
Educational Institution Complaint Form
Please fill out all sections to ensure your complaint is reviewed and resolved appropriately.
Personal Information
Name
Address
Phone Number
Student/Employee ID (if applicable)
Complaint Details
Date of Incident
Department, Office, or Facility Involved
Staff Member(s) Involved (if known)
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Contact Number |
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Nature of Complaint
Check all that apply:
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Academic Issue
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Unprofessional Staff Behavior
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Administrative Error
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Facility Condition or Maintenance Problem
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Bullying, Harassment, or Discrimination
Description of Incident
Provide a detailed account of the issue, including dates, times, and relevant interactions. Attach additional pages if necessary.
Action Taken
Have you reported this issue to anyone else?
If yes, please specify:
Desired Resolution
Describe how you would like this to be resolved.
Supporting Document
Upload a file to support the complaint.
By signing below, I affirm that the information provided is accurate to the best of my knowledge.
Name:
Signed:
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