Non-Child Care Waiver Form - Chesterfield County Public Schools 2026

1. Click ‘Get Form’ to open the Non-Child Care Waiver Form in our editor.
2. Begin by filling in the student’s name, ID number, and address. Ensure all details are accurate for processing.
3. Indicate the grade level for the waiver year and provide the date of birth. This information is crucial for eligibility.
4. Select the reason for your waiver request from the provided options. Make sure to attach any necessary documentation that supports your request.
5. Complete Page 2 by indicating if your child has an IEP, 504 plan, or health services plan. Attach a copy of any relevant documents.
6. Have the required physician/psychologist complete their section and sign it. This attestation is essential for certain waiver requests.
7. Finally, ensure that both parent/guardian signatures are included along with the date before submitting the form to the appropriate school principal.

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