Education Law Center - Non-Discipline Form

Confidential Contact Information

Special and Regular Education

(Non-Discipline Matters)

(Fields marked with a * are required)

1. *Parent(s) name:

2. Address:

3. City, ST, ZIP:

4.*Phone:

*(Home) (Work) (Mobile) (Fax)

5.*E-mail address:

6. School District:

7. Child's Name:

8. Age:

Current Grade:

9. Type of Education:

Regular Education Special Education: (since) §504 Plan: (since)

10. IF currently in Special Education or under a §504 Plan:

	a.	Eligibility Category:
	b.	Eligible Since:
	c.	Date of most recent IEP:
	d.	Date of last MET evaluation:

11. Nature of Dispute::

12. Steps already taken to resolve dispute (meeting with administration, manifestation hearing, school board hearing, etc.)

13. Have you ever consulted with, or at any time retained, other attorneys to represent you or your child as to this dispute, or any other dispute involving their education? Yes No

If so, who did you retain or consult with?

17. Some attorneys charge a fee up to review a student's educational records and/or for the time spent meeting with the parents during an initial consultation. Are you willing to pay a consultation fee? Yes No

Notice:

The attorneys that the Education Law Center refers potential clients to are all private practitioners. That means that they each have their own separate law practices and they each determine independently how they charge for their services (generally a set amount per hour, plus costs and expenses, with an initial retainer to start the representation).


Education Law Center, PLLC www.michedlawcenter.com Telephone (810) 227-9850 Facsimile (810) 227-7996 E-Mail: information@michedlawcenter.com

Disclaimer: The information provided on this web site is generalized in nature and is not a substitute for directly consulting with an attorney.
No attorney-client relationship is intended or established by the use of this site.
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