Self-Advocacy Tool: Bullying and Harassment Complaint Form Checklist

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Students have a right to be free of bullying and harassment. Students have additional protections on the basis of protected class status such as race, gender, status as being a student who is a person with a disability, immigration status, status as a multilingual learner, sexual orientation, or gender identity. Learn more about your child’s rights here.

If your child is facing bullying and harassment, use this checklist to make a complaint to your child’s school in writing to the principal, your child’s main classroom teacher(s), and to your child’s 504 team or IEP team, if applicable. Check the code of conduct or the student handbook for your child’s school to determine to what process you should follow in making a written complaint. If your child’s school does not use a specific form, a sample complaint form can be found here.

Use the Bullying and Harassment Complaint Form Checklist to complete the specific complaint form used by your child’s school, or the sample form if none is specified, in as much detail as possible. If your child is being called names or slurs, list the specific terms being used. Be sure to keep a copy of your complaint for your records and follow up with the school if they do not get back to you within the timeframe listed in the school policy.

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