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The district must submit the original request within 5 days using written evidence of delivery to the State Superintendent and also provide a copy of the completed form to the student’s parent/guardian. The form captures district, attorney, student, disability category, grade level, public setting, and potential issues, plus information about expedited hearings and mediation.",{"@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/district-request-for-an-impartial-due-process-hearing-officer-instructions-and-district-form/535536/",{"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/district-request-for-an-impartial-due-process-hearing-officer-instructions-and-district-form/535536.png","ImageObject",300,407,{"name":92,"@type":93},"Sarah ","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-16","2026-10-10",true,{"@type":102,"interactionType":103,"userInteractionCount":19},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What are the submission requirements and timelines for the district request?","Question",{"text":112,"@type":113},"The superintendent must complete the form and forward the original within 5 days of receipt using a means that provides written evidence of delivery to the State Superintendent of Education. A copy must also be sent to the student’s parent/guardian.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Can a district deny a request for a due process hearing?",{"text":117,"@type":113},"No. A local school district may not deny a request for a due process hearing.",{"name":119,"@type":110,"acceptedAnswer":120},"What information does the district provide on the form for the student and issues in dispute?",{"text":121,"@type":113},"The district provides student identifying information, disability category, grade level, public setting, and potential issues such as discipline, education placement, eligibility, evaluation, procedural safeguards, related services, and IEP-related matters.","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},535536,1791732617,{"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":19,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"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":81},962085320529,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","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.   \nILLINOIS STATE BOARD OF EDUCATION  \nSpecial Education Services Division  \n100 North First Street, N-243 Springfield, Illinois 62777-0001  \nDISTRICT REQUEST FOR AN IMPARTIAL DUE PROCESS HEARING OFFICER  \nINSTRUCTIONS: The local school district superintendent must complete this form and forward the original by a means that provides written evidence of delivery to the State Superintendent of Education within 5 days of receipt of the request for a hearing. A copy of the completed form must also be sent to the parent/guardian of the student who is the subject of the dispute. A local school district may not deny a request for a due process hearing. The district is advised to review the due process regulations found at 23 Illinois Administrative Code 226.605 and Section 14-8.02 of the School Code.  \nDISTRICT INFORMATION  \n\n| NAME AND ADDRESS OF DISTRICT REQUESTING APPOINTMENT OF AN IMPARTIAL DUE PROCESS HEARING OFFICER |  |  |  |  | TELEPHONE (Include Area Code) |  |\n| --- | --- | --- | --- | --- | --- | --- |\n| NAME AND ADDRESS OF JOINT AGREEMENT/COOPERATIVE |  |  |  |  | TELEPHONE (Include Area Code) |  |\n| NAME OF STATE-APPROVED DIRECTOR OF SPECIAL EDUCATION | DATE ON WHICH DISTRICT RECEIVED THE REQUEST FOR HEARING |  |  | NAME OF PERSON REQUESTING THE HEARING |  |  |\n| NAME AND ADDRESS OF PARENT/GUARDIAN |  |  |  |  | HOME TELEPHONE (Include Area Code) |  |\n| E-MAIL ADDRESS (1) |  | E-MAIL ADDRESS (2) |  |  | DAYTIME TELEPHONE (Include Area Code) |  |\n| PRIMARY LANGUAGE(S) SPOKEN BY PARENT AND STUDENT |  |  |  |  | ISAN INTERPRETER NEEDED? |  |\n|  |  |  |  |  |  YES |  NO |\n| NAME AND ADDRESS OF ATTORNEY FOR THE DISTRICT | |  | All information pursuant to this request should be sent to the District’s attorney. |  | TELEPHONE (Include Area Code) |  |\n| NAME AND ADDRESS OF ATTORNEY FOR PARENT/GUARDIAN | |  | All information pursuant to this request should be sent to the District’s attorney. |  | TELEPHONE (Include Area Code) |  |\n\nSTUDENT INFORMATION AS REPORTED BY THE DISTRICT  \n\n| NAME OF STUDENT ON WHOSE BEHALF THE HEARING IS REQUESTED | BIRTHDATE (mm/dd/yyyy) | SEX\u003Cbr> Male |  Female | RACE | SIS ID NUMBER |\n| --- | --- | --- | --- | --- | --- |\n\nDISABILITY  \n Autism  \n Deaf-Blindness  \n Developmental Delay  Emotional Disturbance  Hearing Impairments  \n Intellectual Disability  Multiple Disabilities  Orthopedic Impairments  \n Other Health Impairments  Specific Learning Disabilities  \n Speech or Language Impairment  Traumatic Brain Injury  \n Visual Impairments  \nGRADE LEVEL  \n Early Intervention (Ages Birth-3)  Early Childhood (Ages 3-5)  \n Primary (Grades K-3)  Intermediate (Grades 4-6)  \n Jr. High (Grades 7-8)  High School  \nPUBLIC SETTING  \n Public School  \n Public School Residential Facility  \n Parochial/Independent/Home Schooling  State-Operated Facility  \n Private Day/Out-of-State Day School  Private In-State Residential Facility  Private Out-of-State Facility  \n Home/Hospital  \n Other  \n Separate Public School  \nPOTENTIAL ISSUES AS IDENTIFIED BY DISTRICT  \n Discipline (including suspension/expulsion)  \n Education Placement  \n Eligibility of Students for Special Education Services  \n Evaluation of Students for Special Education Services  Other Intervention  \n Procedural Safeguards  \n Related Services  \n Students educational program as set forth in IEP  Tuition Reimbursement  \n District requested the hearing  Parent requested the hearing (Attach a copy of the written request.)  \n As expedited hearing is requested to remove the student from his/her current placement or challenge the interim alternative educational setting and/or the manifestation determination.  \n Yes  No Were the parents offered mediation services?  \n Yes  No Are the parties interested in participating in the Illinois State Board of Education mediation services?  \n\n| ISBE USE ONLY","cbCaigCbHyCTeNOo","https://ap.wps.com/l/cbCaigCbHyCTeNOo","pdf",265300,"English","# District Information\n# Student Information as Reported by the District\n# Disability\n# Grade Level\n# Public Setting\n# Potential Issues as Identified by District\n# Mediation and Expedited Hearing Requests\n# ISBE Use Only","[{\"question\":\"What are the submission requirements and timelines for the district request?\",\"answer\":\"The superintendent must complete the form and forward the original within 5 days of receipt using a means that provides written evidence of delivery to the State Superintendent of Education. A copy must also be sent to the student’s parent/guardian.\"},{\"question\":\"Can a district deny a request for a due process hearing?\",\"answer\":\"No. A local school district may not deny a request for a due process hearing.\"},{\"question\":\"What information does the district provide on the form for the student and issues in dispute?\",\"answer\":\"The district provides student identifying information, disability category, grade level, public setting, and potential issues such as discipline, education placement, eligibility, evaluation, procedural safeguards, related services, and IEP-related matters.\"}]","DISTRICT REQUEST FOR AN IMPARTIAL DUE PROCESS HEARING OFFICER - Instructions and District Form | PDF",1791600617]