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Data Privacy and Security

Privacy Complaint Form for Parents/Guardians and Students

Required

GENERAL INSTRUCTIONS:

Please do NOT include any information in this form that would constitute student or teacher of principal personally identifiable information (collectively referred to as "PII").  The District will contact you if additional information is needed.

By filing this form, you are filing a complaint with the Williamsville Central School District alleging that PII has been disclosed to or accessed by an unauthorized person.

Please complete the form thoroughly, including sufficient detail that will allow the complaint to be investigated.
Name
First Name
Last Name
Please share your 10-digit phone number starting with the area code (i.e. 716-XXX-XXXX)
Please select the role of individual or entity making the complaintrequired
Please input the date MM/DD/YYYY
Please select the District Office or School involved:required
Please select the type(s) of Personally Identifiable Information (PII) disclosed. If an item is not on the list, you will have the opportunity to list the item(s) in response to the next question.
Certification: I certify that the information I have provided is true to the best of my knowledge.required