Request Forms

To request one of ODR’s services, please fill out and submit the appropriate form. If you need the form in a language other than what is on the website, please contact ODR at 1-800-222-3353, or email at odr@odr-pa.org. Note: Hindu and Urdu versions will be added soon.

Due Process Request Form*

Preschool and School Age Due Process Request form (English – Online Submission)

Preschool and School Age Due Process Request form (Español – Online Submission)

Infant-Toddler Early Intervention Due Process Request form (English – Online Submission)

Infant-Toddler Early Intervention Due Process Request form (Español – Online Submission)

*The actual due process complaint form is not required but is available to help make sure you are including all the required information. If you are more comfortable writing a letter or email, rather than completing a form, you can do so. Just be certain that you include all the required information asked on the form.

 

Mediation/IEP Facilitation/IFSP Facilitation Request Form

Mediation/IEP Facilitation/IFSP Facilitation Request Form (English – Online Submission)

Mediation/IEP Facilitation/IFSP Facilitation Request Form (Español – Online Submision)

 

Resolution Meeting Facilitation Request Form

Resolution Meeting Facilitation Request Form Online Submission

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