ࡱ> jlk!` bjbj\\ *D>>2222222hl,$|\\\\\\\\kmmmmmm$hf2\\\\\22\\\ 2\2\k\k:,22\P bFf k0R|2X\\\ \\\\\\\|||D |||FZh222222 Ohio Department of Education Center for Students, Families and Communities Office for Exceptional Children Due Process Data Collection on Resolution Period and Withdrawal of Due Process Complaint Notice and Request for a Due Process Hearing Within the Resolution Period Due Process Case: # ________________; Date Request Was Received: ________________ I. DUE PROCESS DATA COLLECTION ON RESOLUTION PERIOD (To Be Completed by the School District for All Due Process Requests) Instructions: Before a due process hearing is scheduled, the district shall complete Part I of this form no later than the end of the resolution period (regardless of whether the request is withdrawn or goes forward). Submit only Page One unless the due process request was withdrawn within the resolution period. Submit Page One AND Page Two if the due process request was withdrawn within the resolution period. During the 30-day resolution period (or during the 15-day resolution period for an expedited request), the following occurred. Mark or complete all that apply: A. [ ] A resolution meeting was held within 15 days of receiving notice of the parents request (7 days if expedited request). Date of resolution meeting: ______________. Indicate the outcome of the meeting. (Check one): 1. [ ] The complaint was not resolved to the satisfaction of the parent within 30 days of the receipt of the due process complaint (15 days if expedited request). 2. [ ] The parties resolved their dispute at the meeting and executed a written settlement agreement. (Check if applicable): _____ One of the parties voided the agreement within 3 business days of the agreements execution. B. [ ] A resolution meeting was not held. (Check one): 1. [ ] The parent and the school district agreed in writing to waive the resolution meeting. Date of written agreement to waive the resolution meeting ______________. 2. [ ] The parent and school district agreed to use the state mediation process instead of holding a resolution meeting and (check one): ___ The dispute was resolved in state mediation during the resolution period. ___ State mediation took place during the resolution period, but the dispute was not resolved in state mediation. ___ The parties agreed in writing to continue the mediation at the end of the resolution period. 3. [ ] Parent failed to participate in the resolution meeting. [Do not mark 3. if you mark 4.] 4. [ ] District was unable to obtain the participation of the parent in the resolution meeting after the district made reasonable efforts and documented its efforts. 5. [ ] District failed to hold the resolution meeting within 15 days (7 days if expedited request) of receiving notice of a parents due process complaint and hearing request, or district failed to participate in the resolution meeting. 6. [ ] The district filed the Due Process Complaint and Request for A Due Process Hearing. 7. [ ] A reason not specified above. Explain: _______________________________________________________________________________ _______________________________________________________________________________ The school district shall immediately mail or fax a copy of the completed form no later than the end of the resolution period to: (1) the Office for Exceptional Children, Ohio Department of Education (See address and fax number at the bottom of page two); AND (2) the assigned hearing officer (if a hearing officer has been selected or appointed); AND (3) the sufficiency officer (if there is a pending challenge to the sufficiency of the Due Process Complaint Notice and Request for a Due Process Hearing). February 1, 2007 Due Process Data Collection on Resolution Period and Withdrawal of Due Process Complaint Notice and Request for a Due Process Hearing Within the Resolution Period Page Two Due Process Case # _________________ II. WITHDRAWAL OF DUE PROCESS COMPLAINT NOTICE AND REQUEST FOR A DUE PROCESS HEARING WITHIN THE RESOLUTION PERIOD (To be Completed by Party Withdrawing Request) Instructions: Part II shall be completed only if the party who filed the due process complaint and hearing request is withdrawing the Due Process Complaint Notice and Request for a Due Process Hearing within the 30-day resolution period (or within the 15-day resolution period for an expedited request). Part I of this form must also be completed and submitted with Part II of this form. Note: A withdrawal after the end of the resolution period requires a dismissal order from the assigned hearing officer. I am withdrawing my Due Process Complaint Notice and Request for a Due Process Hearing during the applicable resolution period. A. Complete if withdrawal by Parent(s): ________________________________________________ _____________________ (Printed or typed name of Parent) (Date) ________________________________________________ (Signature of parent) ________________________________________________ _____________________ (Printed or typed name of Parent) (Date) ________________________________________________ (Signature of parent) B. Complete if withdrawal by School District: ________________________________________________ _____________________ (Printed or typed name of District Representative) (Date) ________________________________________________ (Signature of District Representative) Parent shall return this completed withdrawal form to the school district. After receiving the parents withdrawal, the school district shall immediately mail or fax a copy of the completed form (Part I and Part II) to: Due Process Coordinator AND Procedural Safeguards 2. Assigned Hearing Officer Office for Exceptional Children (if a hearing officer has been selected or appointed); Ohio Department of Education AND 25 S. Front Street, Mailstop 202 3. Sufficiency Officer Columbus, OH 43215-4183 (if there is a pending challenge to the sufficiency of Fax: (614) 728-1097 the Due Process Complaint Notice and Request for a Due Process Hearing) February 1, 2007 klpq     4 5 O P a b ߓ~~~uhV$hRCJ h!#CJ h6CJh"_FhRCJh"_FhdCUCJh"_FhH6CJaJh"_FhT'6CJaJh"_FhY6CJaJh"_Fh6CJaJh"_FhCJaJh!#CJaJh"_FhYCJaJh"_FhdCUCJaJh"_FhRCJaJ-Kkl b c $ %  ~ $da$gdc*fdgdc*fdgd7dgdF`dgdR $da$gddCU $da$gdR $da$gdHb c g s   5 6 I J xof`fZTKZhzhc*fCJ hxCJ hF`CJ hHCJhzh2CJhZJ/hzCJhZJ/hz6CJhZJ/hZJ/56>*CJhV$hZJ/6CJ h@6CJhV$h|6>*CJhV$h 6CJhV$h|6CJh@h@CJ hz5CJhZJ/h$5CJhZJ/h|5CJ hyX5CJhZJ/hj5CJhV$h-5CJJ x U Y     " # $ % ( . 1 K L ¶ztnh___Y_ h@CJhZJ/h7CJ h( CJ hNCJ hhCJhZJ/h CJ h#CJ hCJhZJ/h+35CJhzhRCJhzhf76CJhzh+36CJhzh+36>*CJ hYEHCJhZJ/hj5CJ hHCJhzhjCJ h25CJ hYCJhzhF`CJhF`hF`CJ!       2 j k 01;Vij}www hqCJ h#CJ hCJhZJ/h7CJ hc*fCJ h9CJ h( CJ hNCJ ht"CJhZJ/hc*fCJhh5CJ hhCJh@h7CJh@h@CJh@hYEHCJhFh76CJ h@CJ hCJ h7CJ,02789|}   żżyoyic hHCJ h@CJhFhF6CJ hFCJ hdCUCJ ht"CJ hNCJhZJ/h CJ hYEHCJhh5CJ hDCJ hqCJ h9CJhZJ/hc*fCJ hFCJ h5CJ hq5CJh@h@CJh@hqCJh@hq6CJhFhq6CJ&<HIT[\]^bi34568=>uw:EFv彷ͨhZJ/hP CJhZJ/hA{#CJ h.CJ hCJ hFPCJ h#CJhZJ/h':CJ h"_FCJhh5CJ h:]CJ hFCJ hHCJ h!#CJ hXyCJ hqCJ hFCJhZJ/h CJ hdCUCJ3~4D<nono%./TUdgdHdgdZJ/dgdz $da$gdF`dgdFdgdjdgdqdgd':dgd v} 9:;<=>@FG]mٷ讨跒ztǀn h':CJ hFCJ hDCJhZJ/h CJhZJ/h':CJ hsCJhFPhq6CJ hqCJ hCJhZJ/hqCJhh5CJ h* CJhZJ/h#CJhZJ/h* CJ hFCJhZJ/h_,CJ h"_FCJhZJ/hA{#CJhZJ/hSCJ*mno6LSmos&<Chlm$%.μμβ΢znze\hYhzCJhhzCJhFPhT'6CJaJhFPh6CJaJhPchzCJaJhPchCJaJ hCJ hxCJhFPhT'6CJhFPhF`6CJ hFCJ hPcCJ h@CJhzhF`CJ hF`CJhyXhF`6CJhZJ/hF`CJ hF5CJhZJ/hCJ"./<STUdh~C÷ëáϡ}th^UOIU hHCJ hOCJhZJ/h|CJhZJ/h|6CJhZJ/h|56CJhzhjCJ h@6CJhzh|6CJhzhZJ/6CJh@h@CJhZJ/h 5CJhFPhF56CJhFPhT'56CJhFPhyX56CJ hyX5CJhZJ/hj5CJhV$hdCUCJ h@CJhV$hzCJ hz5CJCe+~%,QypffhFPh+36CJhZJ/h+3CJhZJ/hj5CJ hXyCJhZJ/hSCJ hACJhAhA6CJhZJ/h-!CJhZJ/hCJhZJ/h5CJhZJ/h* CJhZJ/h CJhFPh|6CJhFPh 6CJhFPhT'6CJhZJ/h|CJhZJ/h':CJ&{|45f|}'=>mn$ $da$gdR $da$gd+3 $da$gdjdgdAQR]hyz{|,-\e&=>B\cn#LdxƼжжЭжЭЭЭжмƼжжЭжП hO CJhHhO 5CJhHhS5CJ h5CJ hA5CJhZJ/h-!CJ hACJhZJ/hR5CJhZJ/h|5CJhZJ/hRCJhZJ/h+3CJ hXyCJhyXh|CJhyXh+3CJ hyXCJ3$KL)G~4 $da$gdFPdgdFP $da$gdO $ & Fda$gdO dgdV$ $da$gdR  #%'()@H]_`d}~345LMNUuvƽ񱫱⫥~hFPhF6CJhFPh6CJhXyhCJhFPhT'6CJ hFCJ hFPCJ hO CJ hileCJhhO CJhhyXCJhhDCJhh6CJ hCJhZJ/hSCJhZJ/hRCJ h !CJ1hYhFPCJ hFPCJ h2CJhFPh6CJ hF6CJhFPh26CJhFPhO 6CJhFPhT'6CJhFPhFP6CJ(/ =!"#$% 8@8 NormalCJmH sH tH DA@D Default Paragraph FontZiZ  Table Normal :V 4 l4a _H(k(No List DD a' Balloon TextCJOJQJaJFV`F x FollowedHyperlink >*B*phDKklbc$%~4 D <  n o no!PS!PS!PS!PS!PS!PS!PS!PS!PS!PS!PS!PS!PS!PS!PS!PS!PS!PS!PS!PS!PS!PS!PS!PS!PS!PS!PS!PS!PS!PS!PS!PS!PSKklbc$%~4 D <  n o no%./TU{|45f|}'=>mn$KL)G~40000000000000000000000000000000000000000000000000000000000000000000 0000000b J vm.CQ !~$Kpq 3a((//01    \\]^    F G s s m m L S SSQ)uUFr!t\F:h ^`hH.h ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH.0^`0o(() ^`hH. 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" #    2 T O2 G- Center for Students, Families and Communities      "   ##  2  :2  Office for Exceptional Childrene!       2   2  -2  Due ! 2  PC2  % rocess Data Collection on Resolution  !         2  P2  eriode  2 7 2 C and  2  W+2   ithdrawal of     @Times New Roman- 2  D!2  ue  2  P2  rocess  2  C2   omplaint !   -2 N: Notice   2 N and  2 N R2 N* eque2 N st for a   2 N 2 N D!2 N/ ue  2 Nf P2 N rocess a 2 N H!2 N# earing - 2 N 2 N W+2 N  ithin the    2 Ns R2 N  esolution    2 NE P2 N_ eriodg @Times New Roman- 2 N 2   Due Process C  2  ase 2  : )2 + # ________________;   2  22  Date Request Was Received    '   2  : %2  _________________  2  @Times New Roman- 2 w -2 w I.  2   DUE PROCESS  ! "2  DATA COLLECTION !!+2 o ON RESOLUTION PERIOD ! !! ! 2  - 2  (@Times New Roman-(2  To Be Completed by O      2  the  )2 w School District for       -2  All - @ !1- 2  Due Process R   2  equestsa  2 f ) 2 s 2 ~ @Times New Roman- 2 Hw -2 zw  Instructions  -2 z? :  72 z_ Before a due process hearing        2 zM is   2 zt  scheduled,  52 z$ the district shall complete       !   2 z (2 z Part I of this form      2 z 2 z no  L2 w+ later than the end of the resolution period            q2 (D (regardless of whether the request is withdrawn or goes forward).              +2 w Submit only Page One !     2  unle 2 B ss  /2 m the due process request     2  was  S2 F0 withdrawn within the resolution period. Submit            ! U2 w1 Page One AND Page Two if the due process request          2  was  G2 7( withdrawn within the resolution period.            2  - 2 Bw -2 tw  During the 30    2 t_ -F2 tm' day resolution period (or during the 15            2 t -52 t day resolution period for an       12 t expedited request), the     -(2 w following occurred.u    -2  -%2  Mark or complete %  !   -2   all - @ !, -2 6  that apply    2  :- 2  - 2 w -2 w A.  2  [ ] 2  A r 22 ' esolution meeting was held   !     2  t2 F within 15 days of receiving notice of the parents request (7 days if                   +2 <w expedited request).     2 < Date of    2 <O r2 <^  esolution    2 < m!2 <! eeting  2 < : "2 < ______________ 2 < . 2 < - 2 nw 2 n Indicg  >2 n" ate the outcome of the meeting. (    !   !  2 n Check  -2 n} one- 2 n ) 2 n : 2 n - 2 w 2  - 2   1-2 "  . [ ] Th 72  e complaint was not resolved  !       _2 8 to the satisfaction of the parent within 30 days of the                  2 w A2  $ receipt of the due process complaint      !   :2 h (15 days if expedited request)       2 a . 2 l - 2 w - 2   2-2 "  . [ ] The  .2  parties resolved their       a2 09 dispute at the meeting and executed a written settlement      !         !  2 6w 2 6   agreement! 2 6 .  +2 6 (Check if applicable)r     2 6: : 2 6E  _____ One  42 6 of the parties voided the        (2 6 agreement within 3 e!      2 hw L2 h + business days of the agreements execution.     !    2 h  2 w -2 w B.  2  [2  ] =2 ! A resolution meeting was not heldi    !      2 * . 2 5 2 ? 2 J (Check  -2  on 2  e- 2   ) 2  : - 2 " - 2 w 2   1-2 " . 2 8 [ ] 2 }U The parent and the school district agreed in writing to waive the resolution meeting.                    !  2  2  Date   2 `  2 0w p2 0 C of written agreement to waive the resolution meeting ______________   !        !   2 0 . 2 0 - 2 bw 2 b - 2 b  2-2 b" . [ ] 2 b} The p  2 b  arent and   2 b school  (2 b district agreed to       2 b use the   #2 b state mediation    !   2 b process  2 b( ins 2 bZ tead of   2 b holding    2 b` a  - 2 w &2   resolution meeting   !  2 E 2 O and2  (check  -2  one- 2 L ) 2 Y : 2 e ___  2  T2   he dispute   ;2   was resolved in state mediation        !  2   during the     2 w 2    resolution    2  period.   2 3 2 > 2 H 2 S ___  2  State m    !S2 0 ediation took place during the resolution period              2 1 , 2 < but  2   the dispute      2 w 2   was  ;2 X  not resolved in state mediation.       !   2 b 2 m 2 x ___ 2  2  Tb2 : he parties agreed in writing to continue the mediation at            !     2 *w =2 * ! the end of the resolution period.          2 *" - 2 \w - 2 \  3-2 \" . 2 \8 [ ] 2 \r ^2 \}7 Parent failed to participate in the resolution meeting.             !  2 \ 2 \  [Do not mark    ! - 2 \ 3- 2 \ . if you mark  ! - 2 \ 4-2 \ .]  2 \ - 2 w - 2   4-12 " . [ ] District was unab      :2  le to obtain the participation           2  of t "2  he parent in th   2   e resolution t    2 v s 2   2 w &2   meeting after the !     +2 2 district made reasona    ! :2  ble efforts and documented its       !   2   efforts.    2  - 2 w - 2   5-S2 "0 . [ ] District failed to hold the resolution m              !2  eeting   A2 l$ within 15 days (7 days if expedited          2  + 2   2 $ w 2 $   request)   2 $  2 $  of  ,2 $  receiving notice of a        2 $ 0 parents due p   %2 $  rocess complaint o !   (2 $ @ and hearing request     2 $  , 2 $  or  2 $   2 V w 2 V   district     S2 V 0 failed to participate in the resolution meeting.             !  2 V  2 V  2 V  - 2 w - 2  6-2 " . 2 8 [ ] 2 } T,2  he district filed the        -d2 ; Due Process Complaint and Request for A Due Process Hearing            - 2  . 2  - 2 w - 2  7-2 " . [ 2 e ] 2 } A82  reason not specified above.      2  Explain    2  : 2   2 w 2  _2 " _______ A2 $ ____________________________________2  ______82  ______________________________ 2 |  2  w 2  O _______________________________________________________________________________ 2  | - 2 P w -2 wO The school district shall immediately mail or fax a copy of the completed form        !    !       !    -.2  no later than the end o      2  f the  -%2 w resolution period     -2  to:  s2 E (1) the Office for Exceptional Children, Ohio Department of Education            !    2 | (See address   2 w and fax   2  number ! 22  at the bottom of page two)   !   2 ? ; 2 V AND  d2 ; (2) the assigned hearing officer (if a hearing officer has                #2  w been selected or    2    appointed   2  3 );  2  W AND  2   (3) th 72   e sufficiency officer (if the        ;2    re is a pending challenge to the         2   -(2 J w sufficiency of the      -,2 J  Due Process Complaint      2 J > Notice   C2 J % and Request for a Due Process Hearing        -2 J P ).  2 J | m 2 J   2 | w #2 w February 1, 2007   2   2  2 9 -                           ՜.+,0 hp|  ODEq?d Ohio Department of Education Title  !"$%&'()*+,-./013456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\^_`abcdgRoot Entry FbFi1Table#WordDocument*DSummaryInformation(2pTDocumentSummaryInformation8]CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89qRoot Entry FpUn1Table#WordDocument*DSummaryInformation(2pT  !"$%&'()*+,-./013456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\mDocumentSummaryInformation8|CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q՜.+,D՜.+,H hp|  ODEq?d Ohio Department of Education Title4 $,