Form Ed 5247 PDF Details

When families face challenges related to the provision of special education services in Tennessee, they have a specific recourse through the Tennessee Department of Education's Division of Special Education. The cornerstone of this process is the ED 5247 form, a crucial document designed to formally lodge an administrative complaint with the Office of Legal Services. This form serves as a direct line of communication for parents or guardians who wish to raise concerns about their child's educational experience, particularly when it involves matters of special education. By filling out the ED 5247 form, individuals provide essential information including their name, contact details, and most importantly, the details of their child's situation including the child's name, date of birth, and specific disability. The form also requires a detailed account of the grievance and prompts the Tennessee Department of Education to investigate the matter. What makes this form particularly significant is its role in ensuring that every child's right to an appropriate and tailored educational experience is not only recognized but actively protected. With spaces to articulate the specific reasons for the complaint and a mechanism for notifying the complainant of the outcomes, the ED 5247 embodies a structured approach to problem resolution within Tennessee's educational framework.

QuestionAnswer
Form NameForm Ed 5247
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namestennessee department of professional responsibility printable complaint form, 7th, Parkway, TENNESSEE

Form Preview Example

 

TENNESSEE DEPARTMENT OF EDUCATION

 

 

DIVISION OF SPECIAL EDUCATION

 

 

ADMINISTRATIVE COMPLAINT

 

 

 

 

To:

Office of Legal Services

 

 

 

 

 

Tennessee Department of Education/Division of Special Education

 

7th Floor, Andrew Johnson Tower

 

 

 

 

 

710 James Robertson Parkway

 

 

 

 

 

Nashville, Tennessee 37243-0380

 

 

 

 

 

FAX: 615.253.5567

 

 

 

 

From:

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

State

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

Telephone (Home)

Telephone (Work)

 

 

 

 

 

 

 

 

 

 

 

Child’s Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Child’s Date of Birth

Child’s Disability

This administrative complaint is filed on behalf of ___

 

 

 

, a student

 

 

 

 

 

 

 

at _________________

___ School, in the__

 

 

 

School System.

The specific grounds/reasons for this complaint are:

_______

_________________

Please investigate this complaint and notify me of the results. I understand that it may be necessary to release a copy of any correspondence submitted by me in relation to this complaint, my name, the name of the child, and the nature of my complaint to local school system officials in order to resolve these issues.

Signature

Date

ED 5247 REV. 7.1.07