UFT

Special Ed Complaint Form

The goal of the Special Education Complaint process is to make sure students have the supports and services they need to succeed. To support this goal, we are asking you to tell us how the issue you are reporting affects student progress. We will continue to use the information you provide to track trends and facilitate problem solving around Special Education issues.

Once we receive the complaint, a UFT Liaison to the Division of Specialized Instruction and Student Support will review it. You will receive a call or an email to verify the information and obtain additional details including student-specific information. We will then work with you to determine the appropriate mechanism for resolving the issue. We will not share your name or any information on this form with administrative, supervisory or managerial personnel in the Department of Education without your approval.

Go here for a printable PDF version
Descargar un Educación Especial Formulario de Queja en español
Date MM / DD / YYYY
Name * First Last
Mobile or Home Phone * ### - ### - ####
Work Phone * ### - ### - ####
Email Address (Non-DOE) *
Are you a UFT member? *
Yes No
UFT Member ID *
Enter 6 digits. Currently Used: 0 digits.

You can find your six-digit UFT member ID number on your UFT membership card or by logging into the UFT-Mobile app and clicking on the QR code in the upper left corner. If you are a new member and do not yet have a UFT member ID, please enter 000000.
If you belong to a UFT bargaining unit and wish to become a member, enroll now!
You are a: *
School Borough *
School District *
School Name (Ex: "PS 123" or "John Doe Academy") *
School ID number (Ex: K123, X001) *
Enter 4 characters. Currently Used: 0 characters.

Your school ID number is the borough (M, X, K, Q or R) plus your school's 3-digit number.

Uncertain of your school's ID number? You can look it up on the DOE website by typing your school's name in the "School Search" box. The code will appear in parentheses next to your school's name.
Your Chapter Leader: *
Tell us what action you have taken
(Check all that apply)
Discussed the issue with the child's Parents Discussed the issue with your Chapter Leader Discussed the issue with your Principal or Supervisor Discussed the issue with child's Teacher
Complaint (Check all that may apply)
Special Education
IEP implementation - Special Class - Integrated Co-Teaching (ICT/CTT) - SETSS - Related Service (please specify below) - Paraprofessional Support - Test Accomadations - Behavior Intervention Plan - Other (please list below) IEP Team Process (Team Meetings, Changes to IEPs, PWN, Etc. Child Find/ Referral Assessment/Evaluation Discipline ELLs with IEPs
If other, please describe:
Please provide a brief summary of the issue.
DO NOT PROVIDE STUDENT-SPECIFIC INFORMATION UNTIL REQUESTED.
Do Not Fill This Out

UFT

Go here for a printable PDF version

Descargar un Educación Especial Formulario de Queja en español

If you belong to a UFT bargaining unit and wish to become a member, enroll now!