Due Process Complaint Notice Form

After completing this online form, you will receive a copy of the submitted information via email. The information contained in this email should be sent to the opposing party.  Fields with an asterisk (*) indicate a required field; all other fields are optional.

If you require special accommodations to participate in the due process hearing, you must notify the LEA.

Due Process Complaint Notice (English)

A request for a due process hearing must be made in writing to both ODR and the school. The following form can be used.

  • ex: 000-000-0000 or 000-000-0000x000

  • Student Information

  • MM slash DD slash YYYY
    Date format: MM/DD/YYYY
  • Eg: School District, Charter School, or Early Intervention Agency
  • Eg: ABC Elementary School

  • Parent(s) Residing with Student

  • ex: 000-000-0000 or 000-000-0000x000
  • ex: 000-000-0000 or 000-000-0000x000
  • ex: 000-000-0000 or 000-000-0000x000
  • ex: 000-000-0000 or 000-000-0000x000
  • ex: 000-000-0000 or 000-000-0000x000
  • ex: 000-000-0000 or 000-000-0000x000
  • Full Name of Attorney
  • ex: 000-000-0000 or 000-000-0000x000

  • Parent(s) Not Residing with Student

  • ex: 000-000-0000 or 000-000-0000x000
  • ex: 000-000-0000 or 000-000-0000x000
  • ex: 000-000-0000 or 000-000-0000x000
  • Full Name of Attorney
  • ex: 000-000-0000 or 000-000-0000x000

  • I. LEA Contact Person Information

    Local Education Agency (LEA) Information
  • Principal/Superintendent, etc.
  • ex: 000-000-0000 or 000-000-0000x000
  • ex: 000-000-0000 or 000-000-0000x000

  • II. Superintendent/CEO

    Local Education Agency (LEA) Information cont.
  • Superintendent, CEO, Administrator, etc.
  • ex: 000-000-0000 or 000-000-0000x000

  • III. LEA Attorney

    Local Education Agency (LEA) Information cont.
  • ex: 000-000-0000 or 000-000-0000x000

  • IV. The due process hearing will be held at the following address:

    (to be completed by the LEA)
  • Note: The hearing will be held at a time and place reasonably convenient to parents and child involved. For gifted education cases, the hearing will be held in the school district at a place reasonably convenient to the parents, and, at the request of parents, may be held in the evening.

  • Information About the Due Process Complaint (IDEA Cases Only)

    If yes, the Bureau of Special Education will be notified, and will investigate the matter. Due process is not available when the issue pertains to non-implementation of a hearing officer decision.
  • Hidden

  • Information About the Due Process Complaint (All Cases)

    You may use the following fields to explain the nature of your dispute.

  • Resolution Meeting (IDEA Cases Only)

    Prior to a due process hearing taking place, if the parent filed the due process complaint, the law requires the parties to participate in a resolution meeting, unless both sides agree in writing to waive this requirement. Please complete the following information:
  • MM slash DD slash YYYY
    Date format: MM/DD/YYYY
  • MM slash DD slash YYYY
    Date format: MM/DD/YYYY
  • MM slash DD slash YYYY
    Date format: MM/DD/YYYY

Please save a copy of the email you receive. An ODR staff member will confirm receipt of complaint and provide case manager and hearing officer information.

Additional information about due process is available on this website; or by calling the Special ConsultLine, 800-879-2301.

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