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Butte Valley USD

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Forms

Williams Complaint FormSpanish
Williams Complaint Form
PO Request Form (Excel)
Facilities Request
Cafeteria Self-Inspection
Welding/Woodshop Self-Inspection
Field Trip Notice
Certificated Time Card
School Related Trips (Non-Instructional)
Custodian Self-Inspection
Classified Time Card
Student Activity Clearance Form
Certificated Substitute Time Card
Maintenance Self-Inspection
DMV Record Request
Reimbursement Claim
Classified Substitute Time Card
Transportation Request
Leave Request Form
Clearance Form

District Directory
CSEA & CTA
Forms
Employee Handbook Addendum

Maintenance Request

Butte Valley

615 W. Third St., Dorris, CA 96023 Phone: (530) 397-4000 Fax: (530) 397-3999

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Footer Statement

The Butte Valley USD (BVUSD) prohibits discrimination, intimidation, harassment (including sexual
harassment) or bullying based on a person’s actual or perceived ancestry, color, disability, gender, gender identity,
gender expression, immigration status, nationality, race or ethnicity, religion, sex, sexual orientation, or association
with a person or a group with one or more of these actual or perceived characteristics in its programs or activities
and provides equal access to the Boy Scouts and other designated youth groups. For questions or complaints,
contact Equity Compliance Officer/ Title II /ADA Coordinator: Jim Shanks, 615 W. 3rd St., Dorris, CA 96023| Phone:
(530) 397-4000 | Fax: (530) 397-3999, [email protected]; District's Title IX Coordinator: Jared Pierce,
[email protected], Superintendent-Principal, 615 W. 3rd Street, Dorris, CA 96023; Section 504 Coordinator:
Wendy Fiorini, 615 W. 3rd St., Dorris, CA 96023, Phone: (530) 397-4000 | Fax: (530) 397-3999, [email protected]

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