Downloading a Form to Your Computer

Fillable forms cannot be viewed on mobile or tablet devices. Follow the steps below to download and view the form on a desktop PC or Mac.

  1. Right Click for PC or Ctrl + Click for Mac on the PDF link and click “Save link as” from the menu.
  2. Select the folder you want to save the file in and then click "Save."
  3. Navigate to the folder you saved the file in and Right Click for PC or Ctrl + Click for Mac, then select "Open With" from the menu and select Adobe Acrobat Reader DC.

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Effective Date: 




Updated: 8/2019



Form 1505 is completed by a participant to initiate the DRS and DBS process for a due process hearing or mediation.


Copies and Distribution




The original form is maintained in the HHS Legal Hearings file for three years following the end of the fiscal year, in accordance with the HHS Retention Schedule.


Detailed Instructions

Hearing Request Information — Choose one of the determinations or concerns listed.
Authorization — The participant must sign.