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HAWAII STATE DEPARTMENT OF EDUCATION
SPECIAL EDUCATION
REQUEST FOR AN IMPARTIAL DUE PROCESS
Hearing DOE use only:
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Date Received by CAS InitialsThis form is optional; however, the asterisked
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How to fill out special education request for

How to fill out special education request for
01
Call the school to request a Special Education Evaluation
02
Provide written consent for the evaluation to take place
03
Attend a meeting to discuss assessment results and eligibility
04
Collaborate with school officials to create an Individualized Education Plan (IEP)
05
Review and sign the IEP document
Who needs special education request for?
01
Students who have disabilities that impact their ability to learn and require specialized instruction and support
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What is special education request for?
Special education request is for requesting specific educational services and accommodations for students with special needs.
Who is required to file special education request for?
Parents or legal guardians of students with special needs are required to file special education requests.
How to fill out special education request for?
Special education requests can be filled out by providing information about the student's diagnosis, needs, and required services.
What is the purpose of special education request for?
The purpose of special education request is to ensure that students with special needs receive the necessary support and accommodations to achieve academic success.
What information must be reported on special education request for?
Information such as the student's diagnosis, current educational status, required services, and any relevant medical documentation must be reported on special education requests.
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