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Ad this complaint and that it is true and correct to the best of my knowledge, information and belief. I give my permission to release to the DASA Coordinator any records or other evidence relevant to the allegations in this complaint, including but not limited to internal investigations, and school records. This complaint consists of pages, including this page. Signature Date.

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How to fill out the Dasa Form online

The Dasa Form is a critical tool for reporting incidents of harassment and discrimination in educational settings. This guide provides a comprehensive, step-by-step approach to filling out the form online to ensure a smooth and effective submission process.

Follow the steps to complete the Dasa Form effectively.

  1. Click the ‘Get Form’ button to access the Dasa Form and open it in your preferred online editor.
  2. Begin by filling out your contact information. Provide your name, telephone number, address, city, state, zip code, email address, and your relationship to the student on whose behalf you are reporting.
  3. Next, enter the name of the student who is experiencing harassment or discrimination. Include their first name, last name, date of birth, school attending, and grade.
  4. Indicate the characteristics (actual or perceived) of the targeted student by checking all relevant boxes such as disability, sexual orientation, gender, gender identity/expression, and others.
  5. Describe the observed behavior in detail. Include the date, time, and place of the incident, as well as the names of the alleged perpetrator and any witnesses.
  6. Provide a detailed description of the incident(s) reported. This should include how you became aware of the occurrence and any supporting documents you might have.
  7. State any actions taken in response to the incident and note any observable changes in the student’s behavior or well-being since the incident.
  8. Review your entries to ensure all information is accurate. Once completed, proceed to save your changes, then download or print the form for submission.

Complete your Dasa Form online today to ensure effective reporting and support for students.

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The Dignity For All Students Act (DASA / Dignity Act) is New York State's proactive response to battling the epidemic of bullying, harassment and discrimination within the school system.

Any form of discrimination against students prohibited by state or federal law (e.g., the denial of equal treatment, admission and/or access to programs, facilities and services based on the person's actual or perceived race, color, weight, national origin, ethnic group, religion, religious practice, disability, sexual ...

THE PURPOSE OF THE DIGNITY ACT New York State's Dignity for All Students Act was established with the broad legislative intent to provide a school environment free of discrimination and harassment.

New York State's Dignity for All Students Act (The Dignity Act) seeks to provide the State's public elementary and secondary school students with a safe and supportive environment free from discrimination, intimidation, taunting, harassment, and bullying on school property, a school bus and/or at a school function.

A DASA complaint form must be posted on the District website and communicated to parents and students on an annual basis. To be completed by person reporting the incident (or the person receiving the complaint and/or investigating the incident) and submitted to the Dignity Act Coordinator (DAC).

The Dignity for All Students Act (The Dignity Act, or “DASA”) exists to create more nurturing school environments free of discrimination, harassment, intimidation, or abuse of any person based on actual or perceived different races, weights, national origins, ethnic groups, religions, religious practices, mental or ...

The New York State Dignity For All Students Act promotes the idea that all students in elementary and secondary education have the right to a safe, welcoming, considerate and compassionate environment.

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© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232