Attachment 3A - Prince George's County Public School System

Notice of Denial of Services
(Homeless Students)
Note to School Personnel: This form is to be filled out whenever any school personnel denies, in whole or in
part, any request for an educational service (e.g., enrollment, transportation, tutoring, waiver of school fees,
transfer of school records, school supplies, medical or social services referrals, etc.), whether written or verbal,
made by a homeless student or his or her parent or guardian, or takes any other adverse action regarding a
homeless student. The completed form must be given to the parent or guardian in every such instance. A copy
of the completed form must also be faxed to the Homeless Education Office at 301-925-2534.
Date: ______________________ Name of School: ____________________________________
Student’s Name: ____________________________ Student ID No.: ______________________
On ______________________, you requested the following educational services for this student:
(Date)
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
We are unable to do what you have asked because of the following reasons:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Signed:
(Signature) (Print Name and Title)
Notice of Right to Appeal
You have a right to appeal this denial. If you want to appeal, fill out the Appeal Form that is attached. Then
give the form to the principal at your child’s school.
The principal will reconsider the decision. The principal will make a new decision as soon as possible, but not
more than five (5) school days after the date you turn in the Appeal Form. The principal could grant your
request, or the principal could uphold the denial. The principal must tell you about the decision in writing.
If you do not agree with the principal’s decision, you can appeal it to the Office of Appeals which is located at
14201 School Lane, Upper Marlboro, MD 20772. You will need to complete an appeal form, which is attached
to the Notice of Denial. The telephone number for the Office of Appeals is (301) 952-6195. The fax number
is (301) 952-6765.
The Office of Appeals will reconsider the decision again. They will make a new decision as soon as possible
but not more than ten (10) school days after they receive your appeal. The Office of Appeals could grant your
request, or they could uphold the denial. The Office of Appeals must tell you about their decision in writing.

If you do not agree with the decision of the Office of Appeals, you may appeal to the Board of Education which
is located at 14201 School Lane, Upper Marlboro, MD 20772. You will need to complete a new appeal form,
which will be attached to the Decision of the Office of Appeals. The telephone number at the Board of
Education is 301-952-6116. The fax number is (301) 952-6114. You will be given an opportunity for a hearing
before the Board of Education (or its appeal panel) to explain why you disagree with the denial of your request.
The Board of Education of Prince George’s County will reconsider the decision again. They will make a
new decision as soon as possible but not later than thirty (30) school days after they receive your appeal. The
Board of Education could grant your request, or they could uphold the denial. The Board of Education must tell
you about their decision in writing.
If you do not agree with the decision of the Prince George’s County Board of Education, you can appeal it to
the Maryland State Board of Education. Send a letter (keep a copy for yourself), along with a copy of the Prince
George’s County Board of Education’s decision to:
Maryland State Board of Education 200
West Baltimore Street Baltimore,
Maryland 21201 Attention: Appeal
Or you can call the Maryland State Department of Education
Office of the Attorney General at 410-576-6465
Transportation
If the appeal concerns placement, your child may continue to attend the school you have selected
during the appeals process. Your child will receive transportation to the school of origin, if that is the
school you have selected. If the appeal concerns your child’s right to receive transportation, he or she
will continue to receive this service during the appeal process.
Prince George’s County Public Schools • 14201 School Lane • Upper Marlboro, MD 20772 • www.pgcps.org