Student Complaint Form

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State Law Compliance Student Complaint Form

This form is for students who believe that the institution they are attending is operating out of compliance with “applicable State laws,” as provided in 34 C.F.R. §600.9 State Authorization, who have followed the institution’s established complaint process through the highest administrative level available and believe the concern has not been adequately addressed. Complaints must be submitted within one year of the institution’s final decision to be eligible for OSRHE review.

The OSRHE will not review complaints submitted through this form that are not related to institutional non-compliance with “applicable State laws,” as provided in 34 C.F.R. §600.9 State Authorization.

This form requires the complainant to provide the correct citation of the specific state statute or administrative rule with which the student believes the institution is non-compliant. The OSRHE will not review complaints submitted through this form that do not provide the correct citation of the applicable state statute or administrative rule.

"*" indicates required fields

Student Information

Name*

First Middle Name or Initial Last

Email Address*

Other Email Address

Phone Number*

Address*

Institution*

Select the name of the institution that is the subject of your complaint. If the institution you attended is not listed, the OSRHE does not have authority to review complaints against it.

Complainant’s Student ID Number*

Complaint Information

Your Complaint

Provide the specific Oklahoma statute or administrative rule you believe the institution has violated, and describe the nature of the violation. The OSRHE will not review complaints that do not correctly cite the specific state statute or administrative rule.

Desired Outcome*

Describe the outcome you are looking for from the OSRHE’s review of your complaint.

Your Efforts to Resolve It with the Institution*

Describe your efforts to resolve the issue with the institution. The OSHRE will not review a complaint until the student has pursued it with the institution to the highest administrative level available, including any appeal process.

The Institution’s Final Decision*

Describe the institution’s final decision.

Date of the Institution’s Final Decision*

Documentation*

Upload documentation of the institution’s final decision. This may be a letter, email, or other documentation from the institution to you informing you of the final decision.

Drop files here or

Accepted file types: txt, doc, docx, rtf, odt, pdf, csv, xls, xlsx, jpg, gif, png, , Max. file size: 5 MB, Max. files: 5.

Institutional Officials Involved in the Complaint

Provide the following information for the person at the institution responsible for the final decision, or who communicated the decision to you. You are responsible for ensuring that the information you provide is correct.

Name

First Middle Name or Initial Last

Email Address*

Other Agencies or Organizations*

Have you submitted a request for a review of this complaint to any other agency or organization?

Yes

Name of the Other Agency or Organization*

Documentation

Upload documentation of submission or complaint to the other organization. This may be a letter, email or other documentation of your communication with the other agency or organization.

Drop files here or

Accepted file types: txt, doc, docx, rtf, odt, pdf, csv, xls, xlsx, jpg, gif, png, , Max. file size: 5 MB, Max. files: 5.

Other Agency or Organization’s Response*

Other Agency or Organization Official*

Provide the following information for the person at the other agency or organization who communicated the response. You are responsible for ensuring that all information is correct.

First Name Middle Name or Initial Last Name

Email Address*

Verification of Complaint and Consent

The OSRHE will use the information you provide to review and if appropriate investigate your complaint. Once the review is complete, you will be notified of the OSRHE’s findings.

Phone

This field is for validation purposes and should be left unchanged.