Panhandle ISD - Cafeteria Complaint Form

Cafeteria Complaint Form

To file a complaint, complete this form and submit it.

All complaints, written or verbal are automatically forwarded to the Texas Department of Agriculture.

Christiana Snell

Christina.Snell@sfellc.org

Director of Dining Services

Food services complaint form

Check if you would like to remain anonymous

First Name Min: 2 Max: 25

Middle Initial Min: 1 Max: 3

Last Name Min: 1 Max: 25

Contact Information

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Best telephone number to contact you

Email (optional)

Reasons for the Complaint

Is this complaint against an individual

Yes

N/A

If this complaint pertains to an individual, enter the person (or persons) name.

Describe the complaint with as much detail as possible. Include the date and time the incident occurred.

Complaint documentation (optional)

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Other people that may have knowledge of this event. Name

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Basis or the type of discrimination you feel occurred. if the complaint is not based on discrimination, record a check in the N/A box.

N/A

Race

Color

National

Sex

Age

Disability

Date

Required Fields