Disability Services for Students

Disability Services for Students
Western Michigan University
Kalamazoo MI 49008-5277 USA
(269) 387-2116

DSS Complaint Form

 

Western Michigan University and Disability Services for Students are committed to a policy of fair treatment of their students in their relationships with fellow students, faculty, staff, and administrators. Student complaints may be submitted anonymously. However, only when individuals provide their contact information can a resolution be provided to the complainant. Anonymous complaints may also be submitted through related topic procedures listed in Section 6 of the Policy on Student Complaint Tracking and Reporting.

Students are encouraged to seek an informal resolution of the matter directly with the other party when possible. For matters where a resolution is not reached and you believe a policy has not been followed within Disability Services for Students, please complete this form. 

Reporting a disability concern

To report an incident of bias, harassment, discrimination or retaliation related to a disability or accommodation, please use Institutional Equity`s .

Have you attempted to resolve the problem with the party directly responsible for it? (required)
First, Middle, Last
51福利社 identification number
I am a student registered with Disability Services for Students (required)
Complaint Category (required)
(Please know that it can be difficult to resolve complaints if involved persons cannot be asked to explain or respond to your complaint. Retaliation of any kind is strictly prohibited and should be reported.)
Are there any relevant documents you would like to attach?
One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, tar, zip.
Certification: (required)
By checking this box, I hereby certify that the above information is true and correct to the best of my knowledge and belief. I grant permission for this complaint to be forwarded to appropriate 51福利社 officials for purposes of investigation and response.