Alternative Dispute Resolution (ADR) Services Request Form
The Santa Clara SELPAs I, II, III, IV & VII offer ADR services to assist school districts and parents in proactively resolving special education disagreements and disputes brought about by the COVID-19 pandemic.  These ADR services aim to provide parents and school districts within Santa Clara SELPAs I, II, III, IV & VII with a continuum of dispute resolution processes and practices to engage in different levels of intervention – prevention, disagreement, and conflict.

Please complete the form below to request a service/s. A complete application is required in order for a member of the SELPA Team to review your request and contact you for additional information.  For any questions, email  
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Date of Request *
Full Name of Person Making Request: *
Email address: *
Phone number: *
I am a: *
Student's name: *
School District *
ADR Service requested: *
Provide any details about your disagreements and why you are requesting for ADR services: *
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