• - You may complete this form on your computer or as a printed hard copy.

    - You can email this form to the Fillmore DASA Coordinator or bring it to any school office.

    - The DASA Coordinator and a school administrator will review and respond to each incident in the context of the student Code of Conduct.

    DASA Complaint Form

    K-12 DASA Coordinator:
    Stephanie Cook, School Guidance Counselor
    (585) 567-2270