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Official Candidate Conduct and Misconduct Grievance Submission Form Application

IMPORTANT: Please read the Candidate Conduct and Misconduct Grievance Policy in the Candidate Handbook for detailed information regarding this policy.

Candidate Grievance Process
Candidates have the right to appeal any disciplinary action taken against them. This grievance application must be submitted within three (3) business days (excluding Saturdays, Sundays, and Holidays) from the alleged violation, and a review process will be conducted to ensure fairness and transparency.  Late requests will not be considered. 
 
If a candidate believes that an accusation of misconduct was made in error:
  1. Written Appeal:
    Submit this grievance application within three (3) business days (excluding Saturdays, Sundays, and Holidays) of the alleged incident.
  2. Review:
    D&SDT-HEADMASTER will review the incident report, evidence, and the candidate’s statements provided within this application.
  3. Decision:
    A written decision will be issued within 10 business days, excluding Saturdays, Sundays, and Holidays, and sent to your email and the State agency.
  4. Final Appeal:
    If dissatisfied, you may submit a final appeal to D&SDT-HEADMASTER and/or the designated State authority within three (3) business days (excluding Saturdays, Sundays, and Holidays) of the decision.
Non-Retaliation
Candidates will not face retaliation for submitting a grievance in good faith. 

Your application is not complete until you include the required information and select 'Send Application.'
Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN)
Address
EXAM INFORMATION
NATURE OF ALLEGED VIOLATION OF RULES/STANDARDS
DESCRIPTION OF ALLEGED INCIDENT
IMPACT ON YOUR EXAMINATION
SUPPORTING EVIDENCE
RESOLUTION REQUESTED
Affidavit
I have read the Candidate Conduct and Misconduct Grievance Policy in the Candidate Handbook.

I understand:
  • This appeal must be submitted within three (3) business days (excluding Saturdays, Sundays, and Holidays) of the incident.
    • Please note that late requests submitted after three (3) business days of the incident, excluding Saturdays, Sundays, and holidays, will not be considered.
  • I have provided a detailed explanation of the circumstances I am asking for to be reviewed.
    • If applicable, I have uploaded supporting evidence.
  • The final determination will be sent to my email address and the State agency. 
    • If dissatisfied with the appeal decision, I understand that I may submit a final appeal to D&SDT-HEADMASTER or the designated state authority within three (3) business days (excluding Saturdays, Sundays, and Holidays) of the decision.
By Submitting
I hereby verify that I understand and agree with the statements contained herein and the above information is true and correct.
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