Charter School Commission Parent and Student Complaint Form

3. Are you a parent/guardian, student, or other role?*

If you are not a parent/guardian or student please use this form instead.

If you do not have an email address please enter your phone number.

If you are a student, what school do you attend?

Select or enter value
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7. Do you need an interpreter?
8. Does your student receive Special Education Services?

If you are a student do you receive Special Education Services?

(Students with an IEP or Individualized Educational Plan receive Special Education Services)

Include when the incident occurred, times when it occurred, and where the incident occurred. If you have additional documentation please submit it via email to charterschoolinfo@k12.wa.us and mention in the email that you also submitted a complaint.

10. Is there a safety concern?

If this incident has resulted in an emergency, please call 911 immediately

14. Have YOU contacted any school staff or board members about this incident?