Florida Department of Education

Office of Independent Education & Parental Choice

Office of Independent Education & Parental Choice
 

 Office of Independent Education & Parental Choice 

Military Waiver Request Form

Thank you for your submission. Please print this page for your records.

The Office of Independent Education and Parental Choice will contact you shortly to confirm your waiver request.

Please fax or mail a copy of the qualifying parent/guardian’s permanent change of station orders as soon as possible.

Fax number: 850-245-0875

Mailing address:
Florida Department of Education
Office of Independent Education and Parental Choice
325 W. Gaines Street, Room 1044
Tallahassee, FL 32399-0400


Student
Student Name:  
Date of Birth:  
Social Security #:  
Current Grade:  
Gender:  
Race:  
Last Out-Of-State School Attended:  
Current School (if different):  
Does the student have an Individual Education Plan (IEP)?  
Does the student have a 504 accommodation plan with a duration of longer than 6 months?  
Primary Exceptionality:  
Date of student's move to Florida:  
Qualifying Parent/Guardian
Parent Name:  
SSN:  
Address:  
County:  
Phone Numbers:  
E-Mail:  
Branch of Service / Rank:  
Reassignment Date:  
Was relocation to Florida a result of permanent change of station orders?  

Note: A copy of the permanent change of station orders must be submitted to this office.

Contact Person (if different than qualifying parent/guardian)
Contact Name:  
Address:  
District:  
Phone Numbers:  
E-Mail:  
Request Submitted By
Submitted By:
Relationship to Student: