Log of Civil Rights Complaints
|Oregon Department of Education |Office of the Director |
|255 Capitol St. NE |Child Nutrition Programs |
|Salem, OR 97310 |971-208-0490 |
USDA Child Nutrition Programs
Log of Civil Rights Complaints
Year: _______________
|Date Complaint | | |Date Civil Rights Complaint Form |Date Civil Rights Compliant |
|Received |Description of Complaint (verbal or written) |Name of Complainant (Optional) |Completed and Returned to Sponsor |Forwarded to ODE |
| | | |(yes/no) | |
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This institution is an equal opportunity provider.
Sponsor’s Civil Rights Coordinator: _______________________________________________________________________
Coordinator Contact Information: _________________________________________________________________________
Log of CR Complaints.doc
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