Level 1 – Initial Complaint
ARGYLE ISD
STUDENT/PARENT COMPLAINT FORM – LEVEL ONE
To file a formal complaint, please fill out this form completely and submit it by hand delivery, fax,
or U.S. mail to the appropriate administrator within the time established in FNG(LOCAL). All
complaints will be heard in accordance with FNG (LEGAL) and (LOCAL) or any exceptions
outlined therein.
1. Name ________________________________________________________________
2. Address _____________________________________________________________
Telephone number (___)_________________________________________________
3. Campus ______________________________________________________________
4. If you will be represented in voicing your complaint, please identify the person representing
you.
Name _______________________________________________________________
Address _____________________________________________________________
Telephone number (___)_________________________________________________
5. Please describe the decision or circumstances causing your complaint (give specific factual
details).
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
6. What was the date of the decision or circumstances causing your complaint?
___________________________________
7. Please explain how you have been harmed by this decision or circumstance.
_____________________________________________________________________
_____________________________________________________________________
8. Please describe any efforts you have made to resolve your complaint informally and the
responses to your efforts.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
With whom did you communicate? ______________________________________
On what date? _____________________
9. Please describe the outcome or remedy you seek for this complaint.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Student or parent signature __________________________________________________
Signature of student’s or parent’s representative __________________________________
Date of filing ______________________________
Complainant, please note:
A complaint form that is incomplete in any material way may be dismissed, but may be re-filed
with all the required information if the re-filing is within the designated time for filing a complaint.
Attach to this form any documents you believe will support the complaint; if unavailable when you
submit this form, they may be presented no later than the Level One conference. Please keep a
copy of the completed form and any supporting documentation for your records.
ARGYLE ISD
RESPONSE TO LEVEL ONE COMPLAINT
_______________________________________ (date)
_______________________________________ (name of complainant)
_______________________________________ (address of complainant)
_______________________________________
Dear _________________________:
Having considered the complaint we discussed in our Level One conference on
__________________ (date), I have decided on the following response:
[Note: When preparing the letter, include only one of the following sentences.]
For the following reasons, I am unable to provide the remedy you seek:
_________________________________________________________________________
__________________________________________________________________________
I will take the following actions to grant the remedy you seek for your complaint:
__________________________________________________________________________
__________________________________________________________________________
Although I am unable to provide the full remedy you seek for your complaint, I will take the
following actions to provide a partial remedy:
__________________________________________________________________________
__________________________________________________________________________
_______________________________________ (signature of principal or other appropriate
administrator)
Complainant, please note:
To appeal this response, you must file a written notice of appeal with the appropriate administrator
within the time limits set in FNG(LOCAL). The necessary forms are available at the Principal’s
or Superintendent’s office during regular business hours.
