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Joint Advocacy Initiative | PDOP & VFAB

Joint Action: Special Education Evaluation Delays

Authorization for Joint Advocacy, Data Sharing, and NDE State Complaint Inclusion

The Pahrump Disability Outreach Program (PDOP) and Voices for All Abilities (VFAB) are preparing a formal Joint Systemic State Administrative Complaint to the Nevada Department of Education (NDE) regarding unlawful evaluation waitlists and omitted Prior Written Notices across Nye County School District.

To include your child's timeline in this filing and advocate for timely evaluations and compensatory education on your behalf, federal privacy laws (FERPA & IDEA) require written authorization to share timeline data between our advocacy groups and state investigators.

Questions or need assistance? Call 702-516-0847 before or while completing this form.

Student details
Parent / guardian details

Format: (702) 555-0134

Evaluation timeline details

This information becomes part of the state evidence matrix. Approximate dates are fine.

An approximate date is acceptable.

How was the request made? Select all that apply.
Has the District provided a Prior Written Notice (PWN)?
Has the District provided a Permission to Test (PTT) / consent form?

Suspected disability, and any staff quotes about evaluation queues or backlogs.

Required authorizations
Digital signature

Draw your signature with a finger, stylus or mouse. Optional: your typed full legal name below is your signature of record.

Typing your full legal name acts as your electronic signature. Your consent is delivered securely to PDOP and VFAB, and a PDF copy downloads to your device.

This authorization is provided solely to Pahrump Disability Outreach Program (PDOP) and Voices for All Abilities (VFAB) for the purposes described above.