Dignity For All Students Act (DASA) Complainant Form

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.
The form is provided for you to inform the District about bullying or harassment incidents that you have either experienced or witnessed.  The form will be seen by a DASA coordinator. These situations can occur in school or out of school. Please provide as much information as you can so that the problem can be addressed appropriately.  

**NOTE: False reporting of an incident is against ICSD school policy 7311 and state law Section 240.50 of the New York State Penal Law, which states: A person is guilty of falsely reporting an incident when, knowing the information reported, conveyed or circulated to be false or baseless, he/she initiates a false report or warning of an alleged occurrence or impending occurrence of a crime, catastrophe or emergency under circumstances in which it is not unlikely that public alarm or inconvenience will result. This is a Class A Misdemeanor.

When you submit this form, it will not automatically collect your details like name and email address unless you provide it yourself. Click on the link below for the:

Dignity For All Students Act (DASA) Complainant Form