PARENT REQUEST FOR AN IMPARTIAL DUE PROCESS HEARING OFFICER - Instructions and Form ISBE 19-86A

Oct 10, 2026

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Form for parents requesting an impartial due process hearing through the Illinois State Board of Education Special Education Services Division. Completed requests must be submitted to the superintendent of the student’s resident district, which then forwards a copy to ISBE within 5 days for sharing with the appointed hearing officer. The form explains that local school districts cannot deny such requests and directs parties to review relevant due process regulations and confidentiality obligations under IDEA and Illinois records law.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages1

Reading Time3 min

AccessFree to download

Form Purpose and Submission Requirements

Required Parties and Contact Information

Student Details and Parent Communication Needs

Attorney and District/School Details

Statement of Dispute and Requested Resolution

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. ILLINOIS STATE BOARD OF EDUCATION Special Education Services Division 100 North First Street, N-243 Springfield, Illinois 62777-0001 PARENT REQUEST FOR AN IMPARTIAL DUE PROCESS HEARING OFFICER INSTRUCTIONS: This form has been developed to assist parents in requesting an impartial due process hearing. The completed form must be given to the superintendent of the student’s resident district. Within 5 days of receipt of the request for a hearing, the local school district will forward a copy of the completed form to the Illinois State Board of Education to be shared with the appointed hearing officer. A local school district may not deny a request for a due process hearing. All parties involved in the dispute are advised to review the due process regulations found at 23 Illinois Administrative Code 226.605 and Section 14-8.02 of the School Code. The information reported on this form will be subject to the confidentiality requirements of the individuals with Disabilities Education Act and the Illinois School Student Records Act. | NAME OF STUDENT ON WHOSE BEHALF THE HEARING IS REQUESTED | STUDENT’S BIRTHDATE (Month/Day/Year) | | --- | --- | PARENT’S/GUARDIANS’ LANGUAGE/MODE OF COMMUNICATION A BILINGUAL OR SIGN LANGUAGE INTERPRETER IS REQUESTED YES NO IF YES, Specify language/mode of communication | NAME OF PARENT/GUARDIAN | TELEPHONE (Include Area Code) | | --- | --- | | ADDRESS (Street, City, State, Zip Code) | FAX (Include Area Code) | | | E-MAIL | | NAME OF ATTORNEY FOR THE PARENT/GUARDIAN (If this section is completed all information and correspondence regarding the due process will be forwarded directly to the attorney or representative.) | TELEPHONE (Include Area Code) | | ADDRESS (Street, City, State, Zip Code) | FAX (Include Area Code) | | | E-MAIL | | DISTRICT NAME AND NUMBER | TELEPHONE (Include Area Code) | | ADDRESS (Street, City, State, Zip Code) | FAX (Include Area Code) | | | E-MAIL | | NAME OF THE SCHOOL STUDENT ATTENDS | TELEPHONE (Include Area Code) | | ADDRESS (Street, City, State, Zip Code) | FAX (Include Area Code) | | | E-MAIL | A DESCRIPTION OF THE DISPUTE (Attach additional pages if necessary.) A DESCRIPTION OF THE RESOLUTION OR ACTION YOU ARE SEEKING (Attach additional pages if necessary.) __________________________________________________ ______________________________________________________________________________ Date Submitted to District Signature of Parent/Guardian ISBE 19-86A (9/12) Print Reset Form

FAQs

What regulations and confidentiality rules should parties review?

Parties are advised to review the due process regulations in 23 Illinois Administrative Code 226.605 and Section 14-8.02 of the School Code, and the confidentiality requirements under IDEA and the Illinois School Student Records Act.

Oct 10, 2026

Upload by Sarah