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Specifies eligibility timing and allowable costs for tuition and room and board for students aged 3 to 21, submission within required deadlines, and required documentation including a cost spreadsheet (Form 51-77A) and facility calendars. Includes sections for student identification, the hearing officer order details, cost information, and district assurances covering licensing, IEP implementation, record submission, and understanding of ISBE monitoring limits.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":20,"@type":76,"position":81},"https://docshare.wps.com/document/exam/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/application-for-reimbursment-of-private-residential-placement-in-nonapproved-facility-resulting-from-hearing-officer-decision-isbe-form-51-77/534811/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/application-for-reimbursment-of-private-residential-placement-in-nonapproved-facility-resulting-from-hearing-officer-decision-isbe-form-51-77/534811.png","ImageObject",300,407,{"name":92,"@type":93},"Mia  ","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-10","2026-10-10",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"When must the ISBE Form 51-77 application be submitted after the hearing officer order?","Question",{"text":112,"@type":113},"The form must be completed and submitted within 30 days of the hearing of the order. For cases beginning in March 2022 and certain earlier cases, the timeline references the due process decision and notice from ISBE as described in the assurances section.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Which costs are eligible for reimbursement and how must they be reported?",{"text":117,"@type":113},"Allowable items include room and board (separated from tuition), residential individual aide, tuition for regular and summer terms, and individual aide, provided they are included in the IEP. These allowable expenses should be included in the cost spreadsheet that summarizes reimbursable costs.",{"name":119,"@type":110,"acceptedAnswer":120},"What assurances does the district provide regarding the student placement and ISBE responsibilities?",{"text":121,"@type":113},"The district assures it submitted the hearing officer order or the due process case number, will provide attendance records on request, submitted the facility school calendar, entered the student into I-Star, and acknowledges ISBE does not monitor safety and health in non-approved residential programs while the district remains responsible for informing parents.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},534811,1791743969,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":19,"category_name":20,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":81,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":39,"preview_page_count":4},687207024478,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Use your \"Mouse\" or \"Tab\" key to move through the fields and check boxes. After completing last field, save document to hard drive to make future updates or click print button.   \n100 North First Street Springfield, Illinois 62777-0001  \nAPPLICATION FOR REIMBURSMENT OF PRIVATE RESIDENTIAL PLACEMENT IN NONAPPROVED FACILITY RESULTING FROM HEARING OFFICER DECISION  \nSPECIAL EDUCATION DEPARTMENT  \nCheck one of the following:  Initial Application  Continuing Application  \nCheck one or both of the following:  Request for Tuition Reimbursement  \n Request for Room and Board Reimbursement  \nInstructions: When a hearing officer orders a district to reimburse a parent or facility for services in a nonapproved residential placement, ISBE Form 51-77 is to be completed and submitted within 30 days of the hearing of the order. Allowable costs for tuition and room and board for students between the ages of 3 and 21 who are residents of the school district and have a parent other than a public agency will be considered for reimbursement. No room and board reimbursements will be made for students who have reached age 22. The student must be entered into I-Star per I-Star instructions.  \nComplete and submit the application form and the accompanying cost spreadsheet and nonpublic facility calendars to [51_77Reimb@isbe.net](51_77Reimb@isbe.net).  \n\n| SECTION I: IDENTIFICATION |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- |\n| NAME OF STUDENT (First and Last Name) |  |  |  | SIS NUMBER |  |  |\n| GENDER  Male  Female |  | BIRTHDATE |  |  | REGION, COUNTY, DISTRICT, TYPE CODE |  |\n| PRIMARY DISABILITY |  |  | SECONDARY DISABILITY |  |  |  |\n| RESIDENT DISTRICT NAME AND NUMBER AND ADDRESS (Street, City, ZIP Code) |  |  |  |  |  |  |\n| NAME OF CONTACT PERSON | TITLE OF CONTACT PERSON |  | PHONE OF CONTACT PERSON |  |  | EMAIL OF CONTACT PERSON |\n| SECTION II: HEARING OFFICER ORDER |  |  |  |  |  |  |\n| DUE PROCCESS CASE NUMBER (In lieu of the number, the district may submit a copy of the hearing officer’s decision. ) |  |  |  |  |  |  |\n| NAME AND ADDRESS OF RESIDENTIAL FACILITY ORDERED BY HEARING OFFICER |  |  |  |  |  |  |\n| NAME AND ADDRESS OF RESIDENTIAL SCHOOL ORDERED BY HEARING OFFICER IF IT DIFFERS FROM THE ABOVE |  |  |  |  |  |  |\n| SECTION III: COST INFORMATION |  |  |  |  |  |  |\n| FIRST DATE FOR WHICH REIMBURSEMENT WILL BE CLAIMED (Month, Day, Year) |  |  |  |  |  |  |\n\n(This is the date of student attendance in the facility for which the district became responsible for payment of tuition and room and board.)  \nCost Spreadsheet  \nThe district must complete Form 51-77A, which contains a summary of allowable costs that will be reimbursed. The district is responsible for ensuring that only allowable expenses, for tuition, and room and board are included, that can be validated by invoices from a facility are paid to the parent and/or the facility.  \nAllowable expenses  \nThe following items are eligible for reimbursement and should be included in the spreadsheet if applicable to the hearing officer’s decision:  \n• Room and board ( Must be separated from tuition. )  \n• Residential individual aide ( Must be included in the IEP. )  \n• Tuition – Regular term and summer term (IEP must indicate ESY. )  \n• Individual aide ( Must be included in the IEP. )  \nUnallowable expenses  \nDo not include unallowable expenses in the spreadsheet. Items that are not eligible for reimbursement include, but are not limited to:  \n• Summer camps  \n• Fees for therapies/treatments not included in the IEP  \n• Activity fees  \n• Student activities unrelated to IEP – e.g. , ski trips  \n• Clothing-uniforms  \n• Psychiatric evaluations  \n• Medical management – costs of doctor visits, medication, medical tests  \n• Cost related to parent visits – food, hotel  \n• Tutoring  \nReimbursement for allowable room and board and tuition costs will be subject to the same proration methodology as is applied to reimbursement for rates determined under 5/14-7 .02.  \nCalendars  \nT","cbCaioblI36XiY4x","https://ap.wps.com/l/cbCaioblI36XiY4x","pdf",317957,"English","# SECTION I: IDENTIFICATION\n# SECTION II: HEARING OFFICER ORDER\n# SECTION III: COST INFORMATION\n# Cost Spreadsheet\n# Allowable expenses\n# Unallowable expenses\n# Calendars\n# SECTION IV: ASSURANCES","[{\"question\":\"When must the ISBE Form 51-77 application be submitted after the hearing officer order?\",\"answer\":\"The form must be completed and submitted within 30 days of the hearing of the order. For cases beginning in March 2022 and certain earlier cases, the timeline references the due process decision and notice from ISBE as described in the assurances section.\"},{\"question\":\"Which costs are eligible for reimbursement and how must they be reported?\",\"answer\":\"Allowable items include room and board (separated from tuition), residential individual aide, tuition for regular and summer terms, and individual aide, provided they are included in the IEP. These allowable expenses should be included in the cost spreadsheet that summarizes reimbursable costs.\"},{\"question\":\"What assurances does the district provide regarding the student placement and ISBE responsibilities?\",\"answer\":\"The district assures it submitted the hearing officer order or the due process case number, will provide attendance records on request, submitted the facility school calendar, entered the student into I-Star, and acknowledges ISBE does not monitor safety and health in non-approved residential programs while the district remains responsible for informing parents.\"}]","APPLICATION FOR REIMBURSMENT OF PRIVATE RESIDENTIAL PLACEMENT IN NONAPPROVED FACILITY RESULTING FROM HEARING OFFICER DECISION - ISBE Form 51-77 | PDF",1791599099]