Intake complaint form - UTLA 2026

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  1. Click ‘Get Form’ to open the intake complaint form in the editor.
  2. Begin by entering your personal information in the designated fields, including your name, employee number, school/chapter, job title/position, and contact details.
  3. Identify the charter school that is co-located with your school by filling in the appropriate field.
  4. In the UTLA AREA section, circle one of the options provided to indicate your area of concern.
  5. Check all applicable concerns or violations from the list provided. If you have additional complaints not listed, use the space below to elaborate on them.
  6. Answer the important questions regarding communication with your principal and Chapter Chair, as well as details about any Co-Location Committee at your school.
  7. If necessary, provide further elaboration on any points mentioned above in the space provided or attach additional sheets if needed.
  8. Once completed, fax or scan/email your form to Jenny Lam at (213) 487-1618 or jlam@utla.net.

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