Home-Based Instruction Intent Form

Please complete the Declaration of Intent to Provide Home-Based Instruction PDF form and return it to the address below. For questions, please call 425-335-1500.

• Declaration of Intent to Provide Home-Based Instruction (PDF) - Updated Sept. 27, 2022
• Request for Part-Time Attendance for Ancillary Services (PDF)

Return to:
Department of Teaching and Learning
Educational Service Center
12309 22nd St NE
Lake Stevens, WA 98258