Nutrition Services Civil Rights Complaint Procedure and Form

CHILD NUTRITION SERVICES
PROCEDURE FOR HANDLING
COMPLAINTS of DISCRIMINATION

Complaints of discrimination must be filed within 180 day of the alleged discrimination.
Complaints of discrimination should be given to Child Nutrition Services director, Office of Superintendent of Public Instruction. Director will forward to Food and Nutrition Services, Western Regional Office, San Francisco.
Complaints of discrimination may be written or verbal. Use of a form is not required for a person filing a complaint. If a person is unwilling, unable, or not inclined to put the complaint in writing, the person taking the complaint shall do so. (complaint form is available below)
Complaints of discrimination should contain as much as possible of the following information:
1. Name, address, e-mail address, and telephone number or other means of contacting the complainant.
2. The specific location and name of the entity proving the benefits.
3. A description of a specific action that caused the complainant to believe that discrimination was a factor.
4. Basis on which the complainant feels that discrimination occured (race, color, national origin, sex, age, disability, or reprisal or retaliation for prior civil rights activity).
5. Name and titles, if known, and addresses of person who may have knowledge of the discriminatory action.
6. The date(s) the alleged discriminatory actions occurred or the duration of such action.