DLAB Complaint Form – UW System Institutions

UW System University *

Listed here are UW universities participating in the State Authorization Reciprocity Agreement through the approval of the State of Wisconsin Distance Learning Authorization Board (DLAB). If your UW university is not listed here, you may not use this complaint process. You may file a general student complaint here.

Complainant Name *

First Last

Complainant Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Complainant Phone *

Complainant Email *

Enter Email Confirm Email

Jurisdiction

The DLAB only has jurisdiction to consider complaints or disputes that include a specific set of criteria. If you do not meet all of the criteria listed below, you may not use this complaint process. You may file a general student complaint here.

I certify that: *

I am a current or former student of the UW university indicated above.
I have exhausted all internal complaint or grievance options available at the UW university listed above and/or no acceptable outcome was reached.
The issue, dispute, or incident involves a distance education program offered by the UW university listed above and occurred within two (2) calendar years from the date of the alleged violation(s).

Indicate the approximate date and/or timeframe of the incident(s) or actions that led to this complaint. *

One or more of the allegations listed below relate to the complaint (check all that apply): *

The UW university's distance education program does not meet the state authorization requirements indicated in Section 3 (Institutions and Participation) of the SARA Policy and Standards.
The UW university violated Section 4 (Consumer Protection) of the SARA Policy and Standards.
The UW university's distance education program does not meet any other standards established by the university's accrediting agency.

Approximate Date complaint was filed with the UW university: *

Name of person at UW university who handled the complaint (if known)

First Last

Email address of person at UW university who handled the complaint (if known)

Status of Complaint *

Unresolved
In Progress

Details of Complaint: *

Please provide a specific statement/summary of your complaint (Max 3,000 Characters).

Resolution: *

What resolution or outcome are you seeking in the filing of this complaint? (Max 3,000 characters).

All factors below must be affirmed (by clicking the check boxes) for this complaint to be considered: *

STUDENT: I am a current or former student of a UW university that is approved by the DLAB to participate in SARA.
RELEASE OF RECORDS: I hereby give written consent and authorization to the UW university and its agents to disclose any relevant educational records or information to the DLAB and its reviewing panels to process this complaint, including any educational records or information that is protected under federal or state privacy laws.
ACCURACY OF DETAILS: All information provided herein is complete, true, and correct to the best of my knowledge and belief.
COOPERATION: Upon request, I will provide additional information and supporting documentation to assist in the review and processing of this complaint.

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