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.
Question | Answer |
---|---|
Form Name | Form Ed 5247 |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | tennessee department of professional responsibility printable complaint form, 7th, Parkway, TENNESSEE |
|
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 |
|
|
|
|
|||||
|
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