Washington
Declaration of Intent to Provide Home-Based Instruction
The Filing Facts
| Who files | Each parent whose child receives home-based instruction |
|---|---|
| Filed with | Superintendent of the resident district (or a nonresident district accepting a transfer) |
| When / how often | Annually by September 15, or within two weeks of the beginning of any quarter, trimester, or semester |
| Filing required | Yes |
| Statute | RCW 28A.200.010(1)(a); RCW 28A.225.010(4) |
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 — Washington
DECLARATION OF INTENT TO PROVIDE HOME-BASED INSTRUCTION
(In the format prescribed by the Superintendent of Public Instruction — OSPI Appendix A-2)
To: The Superintendent, [NAME OF SCHOOL DISTRICT — the district within which the parent resides, or the nonresident district that accepts the transfer]
School year: [SCHOOL YEAR, e.g. 2026–27]
I, the undersigned parent, declare my intent to cause my child to receive home-based instruction under RCW 28A.225.010(4), and I file this signed declaration as required by RCW 28A.200.010(1)(a).
Child's name: [CHILD'S FULL NAME]
Child's age: [AGE]
Will a certificated person be supervising the instruction? [YES / NO — specify as the statute requires]
Parent name (printed): [PARENT'S FULL NAME]
Parent address: [PARENT'S ADDRESS, as it appears on the OSPI form]
Signature of parent: ______________________________ 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.