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Berkeley Public Schools


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PROCEDURES AND FORMS

Details regarding complaint procedures are available from the District Civil
Rights & Compliance Office.

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INFORMAL, NON-STATUTORY COMPLAINT PROCESS FOR STUDENTS, PARENTS, EMPLOYEES AND
RESIDENTS

The District-Level Complaint (DLC) process is available for all students,
parents, employees, residents, or anyone who wishes to file an informal
complaint against an employee, student, parent, third party, or vendor. The
reason for filing a DLC is based on disagreements and disputes, or conduct that
is considered unprofessional, harmful, abusive, offensive, and lewd.

District-Level Complaint Form

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UNIFORM COMPLAINT FORM

This form, and Berkeley Unified School District’s Uniform Complaint Process, is
available for any parent, student, employee or resident who wishes to initiate a
formal complaint at the District level. If you need help filling out this form,
please ask an administrator or school secretary for assistance. Complaints will
be reviewed and responded to within 60 days. Your complaint will be acknowledged
by email and you will receive a log number after receipt by the District. More
information about Uniform Complaints Procedures is available here.

Uniform Complaint Procedures Form

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BULLYING AND UNIFORM COMPLAINT PROCEDURES FORM

Definition of bullying: Bullying means systematically and chronically inflicting
physical hurt or psychological distress on one or more students or employees. It
is further defined as: unwanted purposeful written, verbal, nonverbal, or
physical behavior, including but not limited to any threatening, insulting, or
dehumanizing gesture, by an adult or student, that has the potential to create
an intimidating, hostile, or offensive educational environment or cause long
term damage; cause discomfort or humiliation; or unreasonably interfere with the
victim’s school performance or participation. Bullying is carried out
repeatedly; and is often characterized by an imbalance of power. More
information about Bullying is available here.

Uniform Complaint Procedures Form

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WILLIAMS COMPLAINT PROCEDURES AND FORM

Education Code 35186 creates a procedure for the filing of complaints concerning
deficiencies related to instructional materials, conditions of facilities that
are not maintained in a clean or safe manner or in good repair, teacher vacancy
or mis-assignment. The complaint and response are public documents as provided
by law. Complaints may be filed anonymously. However, if you wish to receive a
response to your complaint, you must provide your contact information. More
information about Williams Complaint Procedures is available here.

Williams Complaint Procedures Form

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RELEASE AND DISCLOSURE OF STUDENT INFORMATION TO THE MILITARY AND INSTITUTIONS
OF HIGHER LEARNING AND JAMRS OPT-OUT FORM

Under the No Child Left Behind Act of 2002, school districts are now required to
allow the military the same access to high schools and student information as is
given to colleges, universities, or institutions of higher learning. Prior to
the passing of this legislation, the Berkeley Unified School District did not
provide either the military or institutions of higher learning access to the
names or addresses of our students. The Board of Education supports this
position but also recognizes the responsibility to meet the intention of the
law. Therefore, it is your discretion and prerogative to have this information
withheld from these agencies should you choose.

Release and Disclosure of Student Information to the Military and Institutions
of Higher Learning

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MEDICAL AUTHORIZATION FORM

When the district has received written orders from the student’s physician and
written permission from the parent/guardian, designated personnel shall assist
students who are required to take medication during the school day.

Medical Authorization Form

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FORM TO REQUEST ACCOMMODATIONS FOR STUDENTS WITH SPECIAL NEEDS IN
EXTRA-CURRICULAR ACTIVITIES

The Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation
Act of 1973 prohibit nonacademic and extracurricular programs and activities
operated or sponsored by public schools from discriminating against students
with disabilities by denying admission or ongoing participation solely on the
basis of a child’s disability. These programs and activities may not deny a
reasonable accommodation without making an individualized assessment of the
student’s needs.

Request for Disability­-Related Aids, Supports, Accommodations and Services

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FREE/REDUCED PRICE MEAL APPLICATION FORM

We are encouraging every eligible family to complete an application for
free/reduced price school meals. Even if your student does not intend to take
advantage of the lunch program, every qualified application is counted towards
bringing significant federal (Title I) and state (LCFF/LCAP) funding to our
schools!

Free/Reduced Price Meal Application Form

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NAME/GENDER MARKER CHANGE FORM

For school purposes, this request should be completed when a parent/legal
guardian wishes the child to be known by a name different from the name on the
birth verification, but for whom there has been no legal change of name.

Gender and Name Change Form (English)
Solicitud para el Cambio de Nombre/Indicador de Género (Español)

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GENDER SUPPORT PLAN AND GENDER TRANSITION PLAN FROM GENDER SPECTRUM

The purpose of this document is to create shared understandings about the ways
in which the student’s authentic gender will be accounted for and supported at
school. School staff, caregivers and the student should work together to
complete this document. Ideally, each will spend time completing the various
sections to the best of their ability and then come together to review sections
and confirm shared agreements about using the plan. Please note that there is a
separate document to plan for a student formally communicating information about
a change in their gender status at school.

Gender Support Plan Form

SUBSCRIBE TO LATEST DISTRICT NEWS

Enter your email address to receive an update whenever there is a new blog post
on our website.

Email Address

Subscribe

SUBSCRIBE TO A+ NEWS

Enter your email address to receive our email newsletter in English or Spanish.

Email Address:
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Anti-Bullying: Board Policy | Administrative Regulation | Compliance

Suicide Prevention: Board Policy

Notification of Non-Discrimination Policy:


The Berkeley Unified School District is committed to providing equal opportunity
for all individuals in district programs and activities. Accordingly, BUSD
programs and activities shall be free from discrimination, harassment,
intimidation and bullying based on actual or perceived ancestry, age, color,
disability, gender, gender identity, gender expression; nationality, race or
ethnicity, religion, sex, sexual orientation, or association with a person or
group with one or more of these actual or perceived characteristics. The Board
shall promote programs which ensure that discriminatory practices are eliminated
in all district activities. (Board Policy 0410, Board Policy 1311, Board Policy
4030, Board Policy 5145.3, Board Policy 5145.7)

The Board also prohibits retaliation against any district employee or job
applicant who complains, testifies or in any way participates in the district's
complaint procedures instituted pursuant to this policy. (Board Policy 4030)

Complaint forms are available at school sites and on the district webpage at
www.berkeleyschools.net/complaints.

For inquiries or concerns regarding BUSD nondiscrimination policy 5145.3 or the
filing of discrimination complaints please contact:
Jasmina Viteskic, Title IX Coordinator/Compliance Officer
2020 Bonar Street Room 116, Berkeley, CA 94702
Phone: 510.486.9338     Email: nondiscrimination@berkeley.net

More information is available at www.berkeleyschools.net/non-discrimination/.
© Copyright 2024 Berkeley Unified School District
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Proofs of Berkeley Residency
Must submit two proofs listed below.



All Proofs must be current originals (issued within the last 2 months) imprinted
with the name and current Berkeley residential address of the parent/legal
guardian. A student can have only one residency for purposes of establishing
residency and must be living in Berkeley when submitting forms.

Only personal accounts will be accepted. No care of, DBA or Business accounts.

 * Voter registration for the most recent or upcoming election
 * Checking/Savings bank statement
 * Credit card statement
 * Action letter from Social Services or Government Agency (canot be property)
 * Entire utility bill,contract or receipt (PG&E, Landline phone, EBMUD,
   Internet or Cable)
 * Paycheck stub or letter from employer on official company letterhead
   confirming employment and address on file
 * Valid automobile registration
 * Valid automobile insurance
 * Rental contract/lease with payment receipt
 * Current Renters or Homeowners insurance policy
 * Current property taxes
 * Property deed dated within the year

✕
Immunization

If your child is new to Berkeley Unified School District or starting preschool,
transitional kindergarten, kindergarten, or 7th grade, you will need to provide
your child’s school with documentation that your child has been fully immunized.
California state law (Senate Bill 277) no longer allows parents/guardians of
students to submit a personal belief exemption form for any currently required
immunizations.

Children who have not provided BUSD with documentation verifying they have
received all required immunizations prior to the first day of school will not be
allowed to attend school until all immunization records have been provided.




More Information



List of required immunizations (PDF)




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