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OCR Electronic Appeals Form

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OCR Case Number *

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Only a person originally named as a complainant in a case may file an appeal. If you would like someone else to file an appeal on your behalf, you must first provide OCR with your written authorization (unless OCR has already received such authorization earlier in the case). If the complaint was filed on behalf of a minor child who has since reached the age of majority (18), that child must provide OCR their written authorization to proceed before an appeal may be filed.

Date of the determination and/or dismissal that you want to appeal:

This is the date on the letter you are appealing. You have 60 calendar days from this date to file your appeal. If you wish to file an appeal more than 60 days after the date of the determination, you must request a waiver of the 60-day timeliness requirement and provide the reason you did not file within the 60-day period. Waivers are discretionary.

Allegation that is the subject of your appeal:

Basis for appeal: [15,000 character limit]

Supporting documentation:

Do not re-submit documentation that you previously submitted to OCR. If you have documentation that supports your appeal and that was not previously submitted to OCR, you should forward it, electronically or by mail, to Office for Civil Rights, U.S. Department of Education, 400 Maryland Avenue SW, Washington, D.C. 20202; if electronically, to OCR@ed.gov; if via fax, to 202-453-6012. Include the OCR case number in your submission.
Supporting documentation must be submitted within 10 (ten) calendar days of your submission of the appeal.