Iowa
Competent Private Instruction report (Form A: CPI Report) for the reporting routes; Independent Private Instruction has no filing (report only on written request)
The Filing Facts
| Who files | Parent, guardian, or legal custodian (reporting routes) |
|---|---|
| Filed with | School district of residence (in duplicate; one copy forwarded to the area education agency) |
| When / how often | Form A by September 1 each school year (mid-year start after withdrawal: as complete as possible within 14 days, fully complete within 30 days); IPI report only on written request of the superintendent or the director of the Department of Education |
| Filing required | Yes/No by option — Yes for CPI Option 1 and CPI Option 2 with reporting/dual enrollment; No for CPI Option 2 without reporting and for IPI |
| Statute | Iowa Code §§ 299.1, 299.1A, 299.4; ch. 299A (§§ 299A.1, 299A.2, 299A.3, 299A.8); Iowa Admin. Code ch. 281—31 |
Fill In & Print Your Letter
Type your family's details and every bracketed field in the letter is filled for printing. What you type is sealed with your family's key if your school is set up and unlocked — it is never kept in plain text.
The Letter — Iowa
*Filled-companion to the official Form A: CPI Report, for CPI Option 1 and for CPI Option 2 with reporting or dual enrollment. Families under CPI Option 2 without reporting, and families under Independent Private Instruction, file nothing — for them this letter is a personal record, and only the short IPI report at the end is ever sent, and only if it is requested in writing.*
> [DATE]
>
> To the Board Secretary, [SCHOOL DISTRICT OF RESIDENCE]
>
> **Report as to competent private instruction — Iowa Code § 299.4 (companion to Form A: CPI Report)**
>
> Name of the child: [CHILD'S FULL NAME]
>
> Age of the child: [CHILD'S AGE] (birth date: [DATE OF BIRTH])
>
> Name and address of the parent, guardian, or custodian reporting: [PARENT NAME AND ADDRESS]
>
> Period of time during which the child has been or will be under competent private instruction for the year: [PERIOD OF INSTRUCTION] — [NUMBER] days of instruction (not fewer than 148 days, at least 37 days each school quarter)
>
> Outline of the course of study, or texts that will be used: [OUTLINE — SUBJECTS COVERED, LESSON PLANS, AND TIME SPENT ON THE AREAS OF STUDY — OR LIST OF TEXTS]
>
> Name and address of the instructor: [INSTRUCTOR NAME AND ADDRESS]
>
> Route (check one): [ ] CPI Option 1 — provided or supervised by a licensed practitioner (§ 299A.2) [ ] CPI Option 2 with reporting / dual enrollment — provided by a parent, guardian, or custodian (§ 299A.3)
>
> Dual enrollment desired: [YES — EXTENT — OR NO]
>
> First year under competent private instruction: [ ] Evidence of the immunizations required under Iowa Code § 139A.8 is provided with this report [and, for an elementary-age child, blood lead test evidence under § 135.105D].
>
> Signature: ______________________________ [PARENT, GUARDIAN, OR CUSTODIAN]
>
> Date: [DATE]
### The IPI report — sent only on written request (Iowa Code § 299A.1(2)(b))
> [DATE]
>
> To [THE SUPERINTENDENT OF THE DISTRICT / THE DIRECTOR OF THE DEPARTMENT OF EDUCATION], in response to your written request dated [DATE OF REQUEST]
>
> **Report of independent private instruction — Iowa Code § 299A.1(2)(b)**
>
> Primary instructor: [NAME]
>
> Location of the instruction: [LOCATION]
>
> Name of the authority responsible for the independent private instruction: [NAME]
>
> Names of the students receiving the instruction: [STUDENT NAME(S)]
>
> Signature: ______________________________ [PARENT, GUARDIAN, OR CUSTODIAN]
>
> Date: [DATE]
Honesty note: This letter is a template prepared from the statute text cited above. The
parent files it themselves — Grace Team Academy never files on a
family's behalf. It is not legal advice; the family's own state rules, as
currently in force, govern.