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Dispute Resolution in Special Education ~ Exemplar Collection

“Resources and guidance that illuminate and promote exemplary approaches to the design, implementation and improvement of dispute resolution systems.”

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Exemplar Item Groupings

Criteria: 

Process definition: Written State Complaints
Critical System Function: Data Tracking/Forms
Data Tools - Tracking/Data Collection/Forms
     RI - State Complaint Submission Tracking Form
RI-21 Compl Submission Tracking Form.pdf RI-21 Compl Submission Tracking Form.pdf
     WI - Complaint Processing Worksheet Log
WI-128 Complaints Tracking Log.pdf WI-128 Complaints Tracking Log.pdf
Sample Complaint Withdrawal Forms
     NC - Request to Withdraw Formal Complaint
NC-24 formal-complaint-withdrawal.pdf NC-24 formal-complaint-withdrawal.pdf
     NM - Parental Complaint Withdrawal Form
NM-16 Parental complaint withdrawal form_Jan_11.pdf NM-16 Parental complaint withdrawal form_Jan_11.pdf
     NM - Parental Complaint Withdrawal Form - Spanish
NM-17 Forma de renunciar un reclamo paternal.pdf NM-17 Forma de renunciar un reclamo paternal.pdf
Sample Procedural Forms (Internal)
     WA - CAP Matrix Shell
WA-13 CAP Matrix Shell.pdf WA-13 CAP Matrix Shell.pdf
     WA - Complaint Procedures Checklist
WA-2 Part C ComplaintProceduresChecklist-Final-December2010.pdf WA-2 Part C ComplaintProceduresChecklist-Final-December2010.pdf
Sample Reports/Written Decisions
Sample Request/Complaint Forms
     AR - State Complaint Form
AR-4 State_Complaint_Form.pdf AR-4 State_Complaint_Form.pdf
     AZ - State Complaint Form - Part C
AZ-7 Part C State Complaint Form.pdf AZ-7 Part C State Complaint Form.pdf
     CA - Early Start Complaint Investigation Request
CA-9 Part C Complaint Investigation Request 2009.pdf CA-9 Part C Complaint Investigation Request 2009.pdf
     CA - Part C Complaint Investigation Request - Spanish
CA-13 Part C Complaint Investigation Request - Spanish 2009.pdf CA-13 Part C Complaint Investigation Request - Spanish 2009.pdf
     CA - Request for Complaint Investigation
CA-1 Request for Complaint Investigation.pdf CA-1 Request for Complaint Investigation.pdf
     CT - Part C State Complaint Form
CT-7 Part C State Complaint Form.pdf CT-7 Part C State Complaint Form.pdf
     IA - Model Form to Assist Parent/Guardian in Filing a Complaint
IA-62 Model form parents complaint.pdf IA-62 Model form parents complaint.pdf
     KS - Part C Infant-Toddler Services Formal Complaint Request Form
KS-8 ITS_Formal_Complaint_Request_Form3.13.13.pdf KS-8 ITS_Formal_Complaint_Request_Form3.13.13.pdf
     MD - Part C Complaint Form
MD-4 Part C Complaint Form7.2012.pdf MD-4 Part C Complaint Form7.2012.pdf
     MO - First Steps Child Complaint - Model Form
MO-5 Part C State Complaint FormNOV2013.pdf MO-5 Part C State Complaint FormNOV2013.pdf
     NC - Filing a State Complaint (Part C)
NC-38 Infant-Filing State Complaint 2013.pdf NC-38 Infant-Filing State Complaint 2013.pdf
     NC - Model Complaint Form - Spanish
NC-23 formal-complaint-spanish2009.pdf NC-23 formal-complaint-spanish2009.pdf
     NC - Model Complaint Form (2009)
NC-21 formal-complaint-form-1.pdf NC-21 formal-complaint-form-1.pdf
     OK - Formal Complaint Form
OK-58 Formal Complaint Form 5-08.pdf OK-58 Formal Complaint Form 5-08.pdf
     OK - Request to File a Complaint with OK State Dept of Education
OK-41 Complaint_Request_State 12.11.pdf OK-41 Complaint_Request_State 12.11.pdf
     OK - Request to File a Complaint with the LEA
OK-42 Complaint_Request_LEA 12.11.pdf OK-42 Complaint_Request_LEA 12.11.pdf
     PA - Dept of Education - BSE Complaint Information Packet
PA-240 Complaint Information Packet and Form.pdf PA-240 Complaint Information Packet and Form.pdf
     PA - Early Intervention Complaint Form
PA-238 EI Complaint Registry Form.pdf PA-238 EI Complaint Registry Form.pdf
     RI - Model Form to Assist in Filing A Special Education State Complaint
RI-2 State Complaint Model Form.pdf RI-2 State Complaint Model Form.pdf
     UT - State Complaint Form
UT-10 statecomplaint.pdf UT-10 statecomplaint.pdf
     WA - Part C Dispute Resolution Request Form
WA-1 Part C DR_Request_Rev2012.pdf WA-1 Part C DR_Request_Rev2012.pdf
     WI - Complaint form for parent - release of info from the parent for access to school records
WI-108 RELEASE_form.pdf WI-108 RELEASE_form.pdf
     WI - IDEA Complaint Form
WI-92 Complaint Form EnglishJUL13.pdf WI-92 Complaint Form EnglishJUL13.pdf
Sample Request/Filing Forms in Other Languages
     AZ - Dispute Resolution Form - Part C - Spanish
AZ-10 Part C State Complaint Form - Spanish.pdf AZ-10 Part C State Complaint Form - Spanish.pdf
     CT - Part C State Complaint Form (Spanish)
CT-6 Part C State Complaint Form (Spanish).pdf CT-6 Part C State Complaint Form (Spanish).pdf
     NC - Filing a State Complaint Spanish (Part C)
NC-39 Part C Filing a Complaint Spanish 2013.pdf NC-39 Part C Filing a Complaint Spanish 2013.pdf
     PA - Spanish - Dept of Education BSE Complaint Information Packet
PA-241 Spanish Complaint Information Packet and Form.pdf PA-241 Spanish Complaint Information Packet and Form.pdf
     RI - State Complaint Model Form - Spanish
RI-11 Sp Ed State Complaint Model Form Spanish Vers Sept 2011.pdf RI-11 Sp Ed State Complaint Model Form Spanish Vers Sept 2011.pdf
     RI - State Complaint Model Form Portuguese
RI-12 Sp Ed State Complaint Model Form Portuguese VersJAN2011.pdf RI-12 Sp Ed State Complaint Model Form Portuguese VersJAN2011.pdf
     WI - Hmong - IDEA Complaint Form
WI-94 Complaint Form_Hmong12.09.pdf WI-94 Complaint Form_Hmong12.09.pdf
     WI - Spanish - IDEA Complaint Form
WI-93 Complaint Form Spanish 12.09.pdf WI-93 Complaint Form Spanish 12.09.pdf