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Submit an Unauthorized Disclosure/Breach Complaint Form

*Please note, required fields are in red.

Please use the following form to file a complaint about a possible breach or improper disclosure of data using this online form. This form is designed for use by Long Beach City School District parents, eligible students (at least 18 years of age or older), principals, teachers, and other employees.

Please do NOT include any information in this form that would constitute sensitive information (e.g. passwords, Social Security numbers, etc.).