Get Revised Sample State Complaint Form - P-12 - New York State ... - P12 Nysed

Filling out the Revised Sample State Complaint Form is an important step for individuals who believe their rights under the Individuals with Disabilities Education Act or related state laws have been violated. This guide will provide clear and supportive instructions to help you successfully complete this form online.

Follow the steps to fill out the Revised Sample State Complaint Form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your contact information as the complainant. Make sure to include your name, mailing address, and telephone numbers. Select your relationship to the student from the provided options.
3. If your complaint is regarding a specific student, fill in their name, date of birth, and address. Also include the name and address of the school the child attends and any additional contact information if the child is homeless.
4. In the Allegation Information section, state how the school district or public agency has violated Part B of IDEA or state law/regulation. You do not need to specify what law has been violated but ensure that the incident occurred within the last year.
5. Provide the facts supporting your allegation. Describe how the alleged issue has affected the student, including specific details that back up your claim.
6. Outline your proposed resolution to the problem, explaining what you believe should happen to correct the issue.
7. Remember to sign the form; it must have your original signature for it to be processed. After signing, make two copies of the completed form.
8. Send the original completed form to the New York State Education Department, retaining one copy for your records and forwarding another copy to the school district serving the child.

Complete your complaint online today to ensure your concerns are heard.