Partnership for Children’s Rights: Not-for-profit organization aimed at helping disadvantaged children in New York City.

In Client Information:

Overview

Online Intake Forms

Resource Links

Carla’s grandmother knew that her granddaughter was capable of achieving more, if given the right opportunity. PFCR fought for that chance – and won.
Meet Carla

Online Intake Form for Special Education Case

Please fill out this form ONLY if you have a Special Education Case. PFCR does not handle school suspension matters.

* Indicates required fields
* Child’s name:

* Parent/Guardian’s name:

* Address:

Apt.:

* City:

* State:

* Zip Code:

* Home Phone:

Work Phone:

Cell Phone:

Email (if you have one):

* Child’s birthday:

* Total family income (yearly): (You will be required to provide documentation of yearly income.)

* Number of people in family:

* Grade:

* School:

Region/District:

* Child's disability or Classification in IEP:

Date of last IEP:

Check if non-English Speaking:

Language?

Legal problem presented:

Relief you are seeking: