PRS Intake Form

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PRS Intake Form
The school district, collaborative or private school you are reporting
If this involves a particular school, enter its name here
If you entered a school name above, enter its address here
Which is the best to describe the type of program concerning the issue?
↓ Information about you ↓
Enter Email
Confirm Email
Any accommodations you may need in communicating with the department
↓ If this involves a specific student ↓
↓ About the parent ↓
↓ Now the specifics ↓
↓ District contact ↓
You need to. It can be mailed, emailed, or faxed.
Typically you will send the complaint to either the Superintendent or another member of their team.
Enter Email
Confirm Email
↓ Third Party Consent ↓
If you are the parent, and you want to allow the Commonwealth to speak to a third party (your advocate, lawyer, etc.) about the student, put that third party's name here.
Drop a file here or click to upload Choose File
Maximum upload size: 2.1MB
↓ Look at your inputs above, and it is time to sign and send! ↓
By filling in my name below and checking the box, I acknowledge that I have read and understood the provisions above and certify that the information I have provided is true and correct to the best of my knowledge, and I adopt this as my online signature.