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\nPer Federal Regulations 34 CFR 300.509 and 23 Illinois Administrative Code Section 401 Regulations , this Nonpublic Special Education Facility Request for Review Form has been developed to assist parents and other parties in filing a written record of allegations against special education facilities under Section 14-7.02 of the School Code.  \nIn order for an evaluation of an approved special education facility under Section 14-7.02 of the School Code to occur, the alleged violation(s) must meet the following requirements:  \n• Be connected to student health or safety issues pursuant to the regulatory requirements of 23 Illinois Administrative Code Section 401 regulations ,  \n• Be connected to non-health or non-safety issues pursuant to the regulatory requirements of 23 Illinois Administrative Code Section 401 Regulations ,  \n• Be submitted by means of a signed Nonpublic Special Education Facility Request for Review Form.  \n• Be for an incident that has occurred within 1-year of the filing of the Nonpublic Special Education Facility Request for Review Form.  \nEvaluations of approved special education facilities under Section 14-7.02 of the School Code may not occur under the following circumstances:  \n• Inquiries that seek advice or clarification regarding parental rights,  \n• Anonymous correspondence,  \n• Allegations that are not violations under the 23 Illinois Administrative Code Section 401 Regulations.  \nSECTION ONE  \nNAME OF THE NONPUBLIC SPECIAL EDUCATION FACILITY  \nSECTION TWO: Your Information  \n\n| NAME |  |  |  |  | PHONE NUMBER | EMAIL |\n| --- | --- | --- | --- | --- | --- | --- |\n| ADDRESS |  |  |  |  |  |  |\n| RELATIONSHIP TO STUDENT: |  |  |  |  |  |  |\n| Parent/Guardian | | Advocate | | Other (Explain): |  |  |\n\nSECTION THREE: Student Information  \n\n| NAME |  |  |  | PHONE NUMBER |  |\n| --- | --- | --- | --- | --- | --- |\n| ADDRESS |  |  |  |  |  |\n| STUDENT INFORMATION SYSTEM ID (if known) |  |  |  | GENDER | RACE/ETHNICITY |\n| IS THE CHILD CURRENTLY ENROLLED IN THE NONPUBLIC SPECIAL EDUCATION FACILITY? |  |  |  |  |  |\n| | Yes |  | No |  |  |\n| HOME DISTRICT (IF KNOWN) |  |  |  | NAME OF THE NONPUBLIC SPECIAL EDUCATION FACILITY |  |\n\nSECTION FOUR  \nYour submission must allege a violation of Illinois Administrative Code Part 401 Special Education Facilities Under Section 14-7.02 of the School Code. Under Part 401 , this includes:  \n• Subpart A: Approval of Programs (401 .10 – 401.30)  \n• Subpart B: Placement and Education of Students (401 .110 – 401. 150)  \n• Subpart C: Operational Requirements (401 .210 – 401.280)  \nA. WHAT WAS DATE OF ALLEGED VIOLATION(S)?  \nB. DESCRIBE THE ALLEGED VIOLATION(S) AND SUPPORTING FACTS.  \nC. IN RELATION TO THE ALLEGED VIOLATION(S), HAS THERE BEEN INVOLVEMENT BY LAW ENFORCEMENT OR ANY ALTERNATE STATE AGENCY? (If yes, please explain.)  \nD. PLEASE ATTACH A COPY OF ANY REPORTS CORRESPONDING TO THE ALLEGED VIOLATION(S) (incident reports, hospitalization records, DCFS reports, etc. ) .  \nDigital or Original Signature NAME DATE  \n*** Please submit completed form to [nonpublicspeced@isbe.net](nonpublicspeced@isbe.net) ***  \nISBE 53-32 (3/24)  \nReset Form  \nPrint  \nPAGE 2 OF 2","cbCaio8nO0Pz4OrB","https://ap.wps.com/l/cbCaio8nO0Pz4OrB","pdf",300619,"English","# Section One: Name of the Nonpublic Special Education Facility\n# Section Two: Your Information\n# Section Three: Student Information\n# Section Four: Allegation Details and Submission Requirements","[{\"question\":\"What are the conditions for an evaluation to occur after filing this request?\",\"answer\":\"The alleged violation(s) must relate to student health or safety issues or non-health/non-safety issues under 23 Illinois Administrative Code Section 401, must be submitted using the signed request form, and must involve an incident that occurred within one year of filing.\"},{\"question\":\"When can evaluations of approved special education facilities NOT be conducted?\",\"answer\":\"Evaluations may not occur for advice/clarification requests about parental rights, anonymous correspondence, or allegations that do not constitute violations under the 23 Illinois Administrative Code Section 401 Regulations.\"},{\"question\":\"What information must be provided in Section Four?\",\"answer\":\"Section Four requires the date of the alleged violation(s), a description with supporting facts, whether law enforcement or an alternate state agency is involved (and explanation if yes), and copies of corresponding reports such as incident, hospitalization, or DCFS reports.\"}]","Nonpublic Special Education Facility Request for Review Form - Section One to Section Four - Submission Guidance | PDF",1791599101]