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Expedited Due Process Request Form NOTE: An expedited due process request should be used when contesting the manifestation determination or placement in an alternative educational setting resulting from disciplinary action. (to be hand delivered or sent by certified mail) Date: _______________________ _______________________, Superintendent _______________________ _______________________
Dear Superintendent ______________: Please treat this correspondence as a formal request for a due process hearing pursuant to 105 ILCS 5/14-8.02b, 23 Illinois Administrative Code §226.655, 20 U.S.C. 1415(k)(3) and 34 CFR 300.532, 300.533, 300.507 and 300.508. I. Name of Child: The name, age, and date of birth of the child are stated above. II. Address of Child's Residence: Address: ____________________________________________________ City/State/Zip: _______________________________________________ Phones: ____________________________________________________ III. Name of School the Child is Attending: _____________________________________________________________________ _____________________________________________________________________ IV. Description of the Nature of the Problem, Including Facts Relating to the Problem: _____________________________________________________________________ _____________________________________________________________________ V. Proposed Resolution of the Problem to the Extent Known and Available at the Present Time: _____________________________________________________________________ _____________________________________________________________________ For the above listed reasons, it is our position that the district has failed to provide our child with a free appropriate public education as required by state and federal law. We will participate in state sponsored mediation efforts. Sincerely, _________________________________________ |
