Advancement/postponement Request Form
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3THE COMMONWEALTH OF MASSACHUSETTS
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I V I S I O N O F
D M I N I S T R A T I V E
A W
P P E A L S
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E
A
U R E A U O F
P E C I A L
D U C A T I O N
P P E A L S
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F
O N G R E S S
T R E E T
L O O R
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, MA 02 11 4
O S T O N
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: 617-626-7250
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F
: 617-626-7270
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ADVANCEMENT / POSTPONEMENT REQUEST FORM
(See reverse for instructions)
□
This request is for (please check one):
an advancement of the hearing
□
a postponement of the hearing
Student's Name:
School District:
BSEA #:
Hearing Officer:
This request is submitted by (check one):
Parent
School District
Both Parties
to reschedule the hearing date of:
I am requesting this postponement for the following reason(s):
(use other side if necessary)
Proposed alternate dates (agreed upon by both parties, if possible):
__________
________________________________________
Date
Signature of Requesting Party
The above request is allowed/denied. If allowed, the case is rescheduled for the
________________________________________________________
following
date:
__________________________________________________________________
at
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