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Unauthorized Disclosure Complaint Form

Required

Parents, eligible students (students who are at least 18 years of age or attending a postsecondary institution at any age), principals, teachers, and employees of an educational agency may file a complaint about a possible breach or improper disclosure of student data and protected teacher or principal data. The below information collected will be sent directly to:

John Novak, Data Protection Officer
jnovak@letchworth.k12.ny.us
Letchworth Central School
5550 School Road
Gainesville, NY 14066

 

Namerequired
First Name
Last Name
Name of Studentrequired
First Name
Middle (optional)
Last Name