School discrimination complaint checklist
A printable from School discrimination complaint. Fill it in by hand. Nothing you write is collected by this website.
Printable checklist
Printable complaint letter
To: Superintendent (or UCP Compliance Officer), [district name] From: [your name], parent of [child's name], grade [ ], [school name] Date: [date] How to reach me: [phone or email]
Uniform Complaint: discrimination, harassment or bullying
I am filing a written complaint under the Uniform Complaint Procedures.
My child was [discriminated against / harassed / bullied] because of [national origin / race / language / immigration status / other].
What happened (dates, places, names, exact words):
- [ ]
- [ ]
Who saw it: [ ]
Who at school I already told, and when: [ ]
Proof I am attaching: [screenshots, photos, notes]
What I am asking the district to do:
- Investigate and send me a written report within 60 days.
- Make a safety plan for my child.
- Stop the behavior and prevent retaliation.
- [other]
Please provide this report and any meetings in [language]. I need an interpreter: [yes / no].
Signature: ______________________
Keep a copy. Write down the date you sent it.
From School discrimination complaint. Facts checked October 21, 2026. Free information, not legal or medical advice.