Forms

Initial School/District Decision & Final District Decision [Word doc]

These forms may be used by the district when there is a dispute regarding a student's eligibility or entitlement under the McKinney-Vento Act.

Form Notice of Petition (includes the Petition) for an Appeal Involving a Homeless Child or Youth [PDF]

This form should be completed by the parent/guardian or unaccompanied youth (with help from the liaison) wishing to challenge a school district's denial of enrollment and/or transportation. This form includes a request for explanation of evidence as well as a request for a stay.

Statement of Petitioner for an Appeal Involving a Homeless Child or Youth [Word doc]

This form should be signed by the parent/guardian or unaccompanied youth to affirm that the facts presented in the petition are true.

Form for Affidavit of Service by Mail by Local Educational Agency Liaison for Homeless Children and Youth [Word doc]

This form should be completed by the LEA liaison to verify that the individual has been served with the petition and is mailing it to the school district employee who has been designated to accept service on behalf of the school district.

Form for Affidavit of Acceptance of Personal Service by Local Educational Liaison for Homeless Children and Youth [Word doc]

This form should be completed by the LEA liaison or the person who has been designated by the board of education to accept service on behalf of the school district. This form affirms that the individual who completed the form has accepted the petition on behalf of the named respondents in the school district.

Form for Verification of Receipt and Transmittal of Petition and Materials by Local Educational Agency Liaison [Word doc]

This form should be completed by the LEA liaison to verify that the liaison has received the petition, and will mail it to the Office of Counsel of the New York State Education Department.