102.E(6) - Disposition of Complaint Form

Date:                                                             _________________________________________________________________

Date of initial complaint:                                _________________________________________________________________

Name of Complainant (include                                   _________________________________________________________________ 

whether the Complainant is a 

student or employee):                                     _________________________________________________________________

Date and place of alleged                               _________________________________________________________________

incident(s): 

                                                                    _________________________________________________________________

                                                                    _________________________________________________________________

Name of Respondent (include                         _________________________________________________________________

whether the Respondent is a 

student or employee):                                     _________________________________________________________________

Nature of discrimination alleged (check all that apply):

Summary of Investigation: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

I agree that all of the information on this form is accurate and true to the best of my knowledge. 

Signature: _____________________________________                                   Date: _________________________

I.C. Iowa Code                                                Description
Iowa Code § 216.6                               Unfair Employment Practices
Iowa Code § 216.9                               Unfair/Discriminatory Practices
Iowa Code § 256.11                             DE - Educational Standards
Iowa Code § 280.3                               Education Program - Attendance Center Requirements

I.A.C. Iowa Administrative Code          Description
281 I.A.C. 12                                      General Accreditation Standards

U.S.C. - United States Code                 Description
20 U.S.C. §§ 1221                               Education - FERPA - General Provisions
20 U.S.C. §§ 1681                               Education - Sex
20 U.S.C. §§ 1701                               Education - EEO
29 U.S.C. § 206                                   Labor - Minimum Wage
29 U.S.C. §§ 794                                 Labor - Vocation Rehab Rights
42 U.S.C. § 12101                               Public Health - Equal Opportunity - Disabilities
42 U.S.C. § 2000d                               Public Health - Civil Rights - Federally Programs
42 U.S.C. § 2000e                               Public Health - EEO Civil Rights - Definitions

C.F.R. - Code of Federal Regulations    Description
34 C.F.R. Pt. 100                                 Education - Nondiscrimination for Programs
34 C.F.R. Pt. 104                                 Education - Nondiscrimination on Basis of Handicap

Cross References:  101  Educational Philosophy of the School District
                                         104  Anti-Bullying/Harassment Policy
                                         104-R(1)  Anti-Bullying/Harassment Policy - Investigation Procedures
                                         104-E(1)  Anti-Bullying/Harassment Policy - Complaint Form                      
                                         104-E(2)  Anti-Bullying/Harassment Policy - Witness Disclosure Form
                                         104-E(3)  Anti-Bullying/Harassment Policy - Disposition of Complaint Form
                                         401.01  Equal Employment Opportunity
                                         502.03  Student Expression and Student Publications Code
                                         502.03-R(1)  Student Expression and Student Publications Code - Regulation
                                         506.01  Education Records Access
                                         506.01-R(1)  Education Records Access - Regulation
                                         506.01-E(1)  Education Records Access - Request of Nonparent for Examination or Copies of Education Records
                                         506.01-E(2)  Education Records Access - Authorization for Release of Education Records
                                         506.01-E(3)  Education Records Access - Request for Hearing on Correction of Education Records
                                         506.01-E(4)  Education Records Access - Request for Examination of Education Records
                                         506.01-E(5)  Education Records Access - Notification of Transfer of Education Records
                                         506.01-E(6)  Education Records Access - Letter to Parent Regarding Receipt of a Subpoena
                                         506.01-E(7)  Education Records Access - Juvenile Justice Agency Information Sharing Agreement
                                         506.01-E(8)  Education Records Access - Annual Notice
                                         603.01  Basic Instruction Program
                                         603.04  Multicultural/Gender Fair Education
                                         802.05  Buildings & Sites Adaptation for Persons with Disabilities