Desktop Schools Popup

Select a School

503.4.4P - Investigation Report of Alleged Harassment, Discrimination, Violence or Hazing

503.4.4P - Investigation Report of Alleged Harassment, Discrimination, Violence or Hazing

Adopted:  August 2010
Revised:  November 2016

 

Download 503.4.4P - Investigation Report of Alleged Harassment, Discrimination, Violence or Hazing

 

 

INVESTIGATION REPORT

 

To:          Human Rights Officer:

               Director of Human Resources (concerns relating to personnel conduct)

               Director of Elementary Education (concerns relating to student conduct, grades K-5)

Director of Secondary Education (concerns relating to student conduct, grades 6-12)

Director of Special Education (concerns relating to a student’s disability, including their rights under section 504)

                                                                     

From:      _____________________________ , Principal/Designee/other

                                                                      (circle one)

                                                                       ,               

                                               Position                                                            School

Date:      __________________________

 

Subject: Final Report of Investigation, Harassment, Discrimination, Violence or Hazing (circle as appropriate)

 

Complaint by                                          against             

 

          In my/our investigation of the complaint, I/we (check the appropriate responses):

______  Found grounds to substantiate the allegations.

______  Did not find grounds to substantiate the allegations.

______  Did not find enough information to make a judgment on the allegations.

 

Description of investigation, findings and recommended disciplinary action (if appropriate)________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________ ____________________________________________________________________________

 

 

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

(Attach additional pages if necessary.)

 

 

Signature of Investigator X                                                                  Date                                                                                                        

 

 

Signature of Principal X                                                                       Date                                                                                                        

 

Copy:  Superintendent