REQUEST FOR EMERGENT RELIEF
To be completed when an interim (temporary) decision is required pending a final decision of the underlying issues in dispute.
Please note: Emergent relief may only be sought when a temporary interim order is necessary pending completion of the underlying due process hearing in accordance with N.J.A.C. 6A:14-2.7(r). To meet the requirements for requesting emergent relief, complete all theinformation required on the form below and have the completed form notarized. Requests for emergent relief should not be faxed, as an original copy of the application must be filed with the Office of Special Education (OSEP). Please attach your request for a due process or expedited due process hearing. Allrequired forms must be completed in order to process a request for emergent relief.
Please submit the original request for emergent reliefandthe original request for a due process hearing to the OSEP. You must also submit a copy of both the emergent relief and the due process to the district.
Beginning July 1, 2016, the Office of Special Education Programs (OSEP) will accept requests for mediation, a due process hearing, emergent relief (petition only; attachments must be sent separately via regular mail) electronically through an OSEP-maintained and monitored email address. The newly created email address will be used exclusively for the submission of requests and will not be used to communicate with the parties or their representatives. Completed petitions must be saved as Adobe PDF documents and submitted as an attachment to an email sent to: . Adobe Acrobat Reader is document reader software that is available for free download at: . Please note that requests for a complaint investigation, enforcement of a mediation agreement or enforcement of a final decision will NOT be accepted via electronic mail and must be mailed or faxed to the OSEP to be accepted and processed.
Please describe the nature of the emergent problem and any facts relating to the problem.(Attach additional pages if necessary.):
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Please describe how this problem could be resolved.(Attach additional pages if necessary.):
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□ Please check to verify that a copy of this request was sent to the district superintendent:
Name of otherparty: ______
Address: ______
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Phone: (_____)_____-______
Note: A request for emergent relief must include an affidavit or notarized statement as required by N.J.A.C. 6A:14-2.7(r). A certification may be submitted in lieu of the affidavit or notarized statement. A sample certification is available here:
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