Request for Mediation Only

Those seeking only a mediation may access one of the Request for Mediation Only forms.  Visit the Special Education Self-Help pages for more information on mediations not related to due process hearings.

ACCESS MEDIATION ONLY FORMS

NOTE: As with all blank forms, please download the blank form and save it to your desktop before filling in the form.

To access the English language form click on the form's name below:


For translations of these forms please select the section title of either "Request for Mediation Only Filed on Behalf of Student - Available Translations" or "Request for Mediation Only Filed by District or Other Public Agency - Available Translations."  Once selected the section will expand showing the list of translations available with links to those forms. 

If the language needed is not available please use the Alternative Format or Language Request link on this page to request the language that you need. 

 

Available Translations

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Alternative Format or Language Request

All forms and publications on this website are available in alternative formats or languages. If you would like a copy of a form or publication in an alternative format or language, please contact us at DGSOAHFeedback@dgs.ca.gov.
Send a Request