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Parent authorization and secure document upload.
Use this form only after ModusCore directs you to complete the authorization and document-submission process. It is separate from the initial service inquiry.
Please submit only the information and documents requested by ModusCore. Do not use this form for a general question or an appointment request.
NYC DOE parent waiver
Review the complete document
If the NYC DOE Parent Waiver applies to your situation, review the complete one-page sample release before completing the secure form. The document is provided in its original wording and includes the spaces for the DOE employee, child, parent or guardian signature, and date.
Open the complete NYC DOE waiver sample (PDF)Complete your secure forms
Your submission is handled through Hushmail Secure Forms. Complete every required field before submitting.