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Request for Administrative Review

Resolution and Compliance Unit, Office of Special Education

About this Form

Form number: 336-43A

Audience:  Parents/Guardians

Last revised: April 2017

This form should be completed by a parent/guardian/eligible student to initiate an administrative review addressing: (1) the evaluation of the student; (2) the identification of the student; (3) the educational placement of the student; or (4) the provision of a free appropriate public education for the student.  This process is entirely voluntary.  An application for a due process hearing may be filed in place of, during, or after the administrative review.  Please refer to Board of Education Policy BLC, Procedures for Review and Resolution of Special Education Disputes.  Return the application to:

Resolution and Compliance Unit, Montgomery County Public Schools, 850 Hungerford Drive, Room 208, Rockville, Maryland 20850.  If you have any questions about the completion of this form, please call 301-517-5864. 

Adobe PDF Request for Administrative Review
Resolution and Compliance Unit, Office of Special Education
39 KEnglish
Adobe PDF Solicitud de Revisión Administrativa51 KSpanish
Adobe PDF Demande de Révision Administrative51 KFrench
Adobe PDF Request for Administrative Review (Yêu Cầu Sự Duyệt Xét Hành Chánh)114 KVietnamese
Adobe PDF 行政復審申請113 KChinese
Adobe PDF 행정관리자의 검토 요청서52 KKorean
Adobe PDF የአስተዳደራዊ ግምገማ ጥያቄ ስለማቅረብ59 KAmharic

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