Office for Civil RightsDiscrimination Complaint Form
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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:
If there is only one allegation investigated in your case, you can leave this blank. If there was more than one allegation investigated in your case, you must specify the allegation you are appealing, or your appeal may not be processed.
When you fill in the text box blanks explaining the basis for your appeal, you may wish to refer to specific, identified evidence in the record (e.g., "I submitted the October 15, 2017 IEP along with my complaint"). In the appeal, you must explain why you believe the factual information was incomplete, inaccurate, the legal analysis was incorrect or the appropriate legal standard was not applied, and how correction of any errors would change the outcome of the case.
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.