AMERICAN OSTEOPATHIC ASSOCIATION 
COMMISSION ON OSTEOPATHIC COLLEGE ACCREDITATION
142 E. Ontario St., Chicago, IL 60611 
predoc@osteopathc.org 

COMPLAINT FORM 
PLEASE TYPE ALL INFORMATION

The Commission on Osteopathic College Accreditation (COCA) has established a complaint review procedure to protect the integrity and the maintenance of accreditation standards and procedures as they relate to approved colleges of osteopathic medicine (COM) having recognition from the COCA. The complaint review procedures are set forth in the COCA Complaint Policy located on this webpage: https://osteopathic.org/accreditation/accreditation-guidelines/ 

Please note that this complaint review procedure is not an appeal process for decisions made by the COM. The complaint review procedure is to address issues raised related to accreditation issues.
The COCA does not mediate on behalf of a complainant or otherwise intervene in decisions made by an accredited program. 

Complaints must be submitted within two years of the alleged incident that is the basis of the complaint. 

Please note that anonymous complaints cannot be considered.

To facilitate a complainant’s submission of allegations that relate to accreditation standards, the COCA requires the use of this form. Attach additional pages as needed.

Your Full Name:		
Address:		
City, State, Zip:		
Email:		
Telephone:		
Name of COM:		

Student:		Faculty:		Staff:		Public:		
Your affiliation to this COM:  

Approximate Date(s) of Incident(s):  		

Summary of Factual Allegations (What happened to give rise to this complaint?):	

Identify all individuals involved:	

What Accreditation Standards and Elements do you allege to have been violated?	

As to each Accreditation Standard or Element alleged to have been violated, please correlate every factual allegation that supports your allegation of the violation. Please be as specific as possible.
	
Standard/Element  	was violated because:

	
Standard/Element  	was violated because:

	
Standard/Element  	was violated because:

	
Standard/Element  	was violated because:

	
Standard/Element  	was violated because

	
Standard/Element  	was violated because

	
Standard/Element  	was violated because

	
Standard/Element  	was violated because

	

Attach additional sheets as necessary.

What documents support your allegations? Identify and attach all documents you believe will assist the COCA in reviewing your allegations. List documents below and attached as PDFs.	

What actions have you taken to resolve the problem through the recommended route through the COM’s administration and what were the outcomes of those actions?	

By signing below, I attest that the information provided above is true and accurate to the best of my
knowledge.

Signature						Date

Print Name

Please submit the form and all supporting documentation to the Secretary of the Commission on Osteopathic College Accreditation by email to  predoc@osteopathic.org with the subject line “Complaint Regarding  	COM.”