"State Administrative Complaint" - Idaho

State Administrative Complaint is a legal document that was released by the Idaho Department of Education - a government authority operating within Idaho.

Form Details:

  • Released on January 1, 2020;
  • The latest edition currently provided by the Idaho Department of Education;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Idaho Department of Education.

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State Administrative Complaint
Special Education
Please submit any request for a state complaint investigation to the Dispute Resolution
Coordinator, State Department of Education, PO Box 83720, Boise, ID 83720-0027 or fax the
form to (208) 334-2228. The alleged violations may not be older than one year (365 days)
from the date the complaint is received by the SDE. It is also necessary for you to provide a
copy of this form to the school district named below (You may use this form or submit a
letter that includes the information below, including certifying that you have provided a
copy to the school district).
A. GENERAL INFORMATION:
Name of Individual Filing the Complaint: __________________________________________
Address: ____________________________________________________________________
City: ______________________________________ Zip: _____________________________
Email: ______________________________________ Telephone: _____________________
Preferred Method of Contact: ☐ Telephone ☐ Email
Relationship to Student: _______________________________________________________
Name of District /Agency Complaint Is Against: _____________________________________
STUDENT INFORMATION
Student Name: ______________________________________________________________
Student’s Grade: _________________________________ Student’s Age: ______________
School Student Attends: _______________________________________________________
Parent/Guardian Name: ______________________________________________________
☐ Check Here If Same As Complainant
Address: ____________________________________________________________________
CREATED JANUARY 2020
State Administrative Complaint
/ Special Education / SDE /
1
State Administrative Complaint
Special Education
Please submit any request for a state complaint investigation to the Dispute Resolution
Coordinator, State Department of Education, PO Box 83720, Boise, ID 83720-0027 or fax the
form to (208) 334-2228. The alleged violations may not be older than one year (365 days)
from the date the complaint is received by the SDE. It is also necessary for you to provide a
copy of this form to the school district named below (You may use this form or submit a
letter that includes the information below, including certifying that you have provided a
copy to the school district).
A. GENERAL INFORMATION:
Name of Individual Filing the Complaint: __________________________________________
Address: ____________________________________________________________________
City: ______________________________________ Zip: _____________________________
Email: ______________________________________ Telephone: _____________________
Preferred Method of Contact: ☐ Telephone ☐ Email
Relationship to Student: _______________________________________________________
Name of District /Agency Complaint Is Against: _____________________________________
STUDENT INFORMATION
Student Name: ______________________________________________________________
Student’s Grade: _________________________________ Student’s Age: ______________
School Student Attends: _______________________________________________________
Parent/Guardian Name: ______________________________________________________
☐ Check Here If Same As Complainant
Address: ____________________________________________________________________
CREATED JANUARY 2020
State Administrative Complaint
/ Special Education / SDE /
1
Parent/Guardian Name: ______________________________________________________
☐ Check Here If Same As Complainant
City: __________________________________________ Zip: _________________________
Email: _________________________________________ Telephone: __________________
DISTRICT INFORMATION
Special Education Director Name: _______________________________________________
Phone: _____________________________ Email: __________________________________
(If the complaint involves more than one student, please complete the student and district
information for each student.)
In the case of a homeless child or youth, provide available contact information:
B. DESCRIPTION OF THE PROBLEM: Provide a description of the specific issues related to the
alleged violation(s) of Part B the Individuals with Disabilities Education Act (IDEA). Include
dates and statements of fact relating to the alleged violation(s).
CREATED JANUARY 2020
State Administrative Complaint
/ Special Education / SDE /
2
C. RESOLUTION: Please provide your suggestions for resolving the problem.
By my signature below, I certify that a copy of this request for a state complaint investigation
has been provided to the special education director of the named school district.
_________________________________________
_________________________________
Signature of Complainant
Date
(May be typed)
The Idaho State Department of Education takes precautions to maintain the confidentiality of
personally identifiable information. However, email communications are not always secure and
may be read by individuals who are not the intended recipients. By completing this form and
emailing it to the Idaho State Department of Education you acknowledge that you understand
the potential risks and are voluntarily communicating by email.
If you do not wish to email this form, you may print, sign and mail the completed form to
Dispute Resolution Program
Idaho Department of Education
PO Box 83720
Boise, ID 83720-0027
CREATED JANUARY 2020
State Administrative Complaint
/ Special Education / SDE /
3
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