New York City Department of Education, Impartial Hearing Decision

STATEMENT OF AGREEMENT AND ORDER

Case Number:

Student’s Name:

Date of Birth:

District:

Hearing Requested By: January 12, 2012

January 24, 2012

Date of Hearing:

Actual Record Close Date:

Hearing Officer:

NAMES AND TITLES OF PERSONS APPEARING ON

For the Student:

For the Department of Education:

NAMES AND TITLES OF PERSONS APPEARING ON

For the Student:

For the Department of Education:

NAMES AND TITLES OF PERSONS APPEARING ON

For the Student:

For the Department of Education:

NAMES AND TITLES OF PERSONS APPEARING ON

For the Student:

For the Department of Education:

PLEASE TAKE NOTICE

Within 35 days of the date of this decision, the parent and/or the New York City Department of Education has a right to appeal the decision to the State Review Officer of the New York State Education Department under Section 4404 of the Education Law and the Individuals with Disabilities Education Act.

“The notice of intention to seek review shall be served upon the school district not less than 10 days before service of a copy of the petition for review upon such school district, and within 25 days from the date of the decision sought to be reviewed. The petition for review shall be served upon the school district within 35 days from the date of the decision sought to be reviewed. If the decision has been served by mail upon petitioner, the date of mailing and the four days subsequent thereto shall be excluded in computing the 25- or 35-day period.” (8NYCRR279.2[b]) Failure to file the notice of intention to seek review is a waiver of the right to appeal this decision.

Directions and sample forms for filing an appeal are included with this decision. Directions and forms can also be found in the Office of State Review website: www.sro.nysed.gov/appeals.htm.

DOCUMENTATION ENTERED INTO THE RECORD

PARENT

DEPARTMENT OF EDUCATION

IMPARTIAL HEARING OFFICER