Online Form
Documents File
Type of Form
IA Paperwork Reduction Act (PRA) FormsIA Internal Use Only
NoOMB Control Number
1076-0134The information on this form is required to meet the McKinney-Vento Homeless Assistance Act requirement that homeless children and youth have access to education and other services for which they are eligible, and that barriers to enrollment must be removed. In some cases, a child or youth may not be able to reside with his/her parent or guardian; however, this fact does not nullify the child's/youth's right to receive a free, appropriate public education. This form does not establish legal guardianship, nor require caregivers to seek legal guardianship of an unaccompanied minor.