By: Regular Postpaid Mail Certified Mail Fax Hand Delivery
Other ___ ___________________
Signature of Person(s) Requesting Due Process Hearing
Please provide your due process request to the other party and a copy of this notice to OSPI, Administrative Resources Services, at the address above. Keep a copy of your request and proof of delivery to the other party. Do not submit supporting documents with your request for a due process hearing.
This form is provided to you as a model for your use. You are not required to use this form
; however, failure to address the elements required in IDEA 2004 or failure to provide the other party
, or his or her representative with a due process hearing request may result in a delay of the hearing and/or in a reduction of attorney fees
, if awarded.
A publication entitled
, “Procedures and Timelines for Due Process Hearings under IDEA 2004” provides additional information on the timelines and procedures for impartial due process hearings. You may download a copy at:
You may also request a copy of this document or other publications by calling (360) 725-6133 or (360) 725-6075.