Grand Blanc Community School District SECTION 504 COMPLAINT FORM
FORMM
Name of Injured Party: ____________________________________________ Address: Phone: _________________ Email: If the injured party is a student, please also provide the following information:
School Building Attending: ____________ Grade: ___ Birthdate:
Cqmplainant's Name:
Relationship to Student:
Address:
Phone: __________________
Email: 1. Describe the alleged violation of Section 504. Please be specific and describe the specific incident(s), as well as identify the individuals involved, dates/times/locations, etc. Attach additional pages if needed.
2.
Describe your proposed resolution to address the alleged problem(s)/violation(s).
Date: Complainant's Signature
PLEASE SUBMIT THIS FORM TO: 504 Coordinator Name 504 Coordinator Title
Grand Blanc Community School District 504 Coordinator Street Address 504 Coordinator City, State Zip 504 Coordinator Phone
A person who believes that he/she has been discriminated against by the Grand Blanc Community School District on the basis of disability may file a complaint through the District's grievance procedure. A complaint may also be filed with the Office for Civil Rights (OCR), U.S. Department of Education, 600 Superior Ave East, Suite 750, Cleveland, OH 44114. You may file a complaint with OCR at any time. Filing a complaint with the School District is not a prerequisite to filing with OCR.
Grand Blanc Community School District - Section 504 - Complaint Form
of Education, 600 Superior Ave East, Suite 750, Cleveland, OH 44114. You may file a complaint. with OCR at any time. Filing a complaint with the School District ...
to request accommodations. Additional Resources: College Board: www.collegeboard.com/. ACT: www.act.org. Page 2 of 2. 504 BPS 504 Info Brochure _1_.pdf.
Page 1 of 2. District 504 Coordinator: Patrick Larkin. Definition. What is it? Section 504 prohibits discrimination on. the basis of disability in programs or. activities ...
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(iv) Pension Disbursing Agency In case of Bank, name of Bank, Branch. Address and Account Number. (c) An application from widow for grant of Family Pension from Army side. (d) Last payment certificate by PDA, in respect of ordinary family pension for
elsewhere on the Internet, including from Google's own free online help center. .... âOnline giant Google ... worth an estimated $100 Billion.â .... promoted home business opportunity kits through websites using domain names including.
22 hours ago - claims based on the parties' diversity ofcitizenship and because the amount in controversy exceeds. $75,000. 4. Venue is appropriate in this judicial district, pursuant to 28 U.S.C. § 1391, because. this Court has personal jurisdictio
Page 1 of 3. - 1 -. DIVISION OF SECURITIES. STATE OF COLORADO. Rev: 9/2013. COMPLAINT FORM. PROCEDURE FOR FILING A COMPLAINT. (Please read and detach). The Securities Division protects the public against fraud in the offers and sales of securities; u
charge of the professional conduct system, Ligon is the chief administrator of the. enforcement mechanism for the system. Ligon's office is in Little Rock, Pulaski.Missing:
... student or parent appealing a Level One decision, or the lack. of a timely response after a Level One conference, to the Superintendent or designee, in accordance with. FNG(LOCAL) or any exceptions outlined therein. 1. Name. 2. Campus. 3. Address
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Page 3 of 11. 3. CERTIFICATION. This is to certify that a copy of the foregoing was mailed, postage prepaid, on the above. date to all counsel of record, as follows: John Hanks Jr., Esq. Aldrich, Hanks & Sheehan. 538 Preston Avenue, Suite 305. Meride
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