Next, clearly state your child's name and the school they are leaving. INSTRUCTIONS: Please complete form, discuss leave plans with immediate supervisor, obtain signatures, attach proper documentation,.In most states, you need to notify the district that you'll be homeschooling. Here's a sample letter plus requirements for different states. The notice may be in the form of a letter or other written document and must identify the child or children involved. We reviewed your request for an extension of your eligibility period for using your (Insert benefit name) benefits. Home and CommunityBased Services can help more than Medical Assistance for a person who wants to stay in a community. In a February 2019 court hearing, a Juvenile Court judge awarded custody of 4yearold Harmony Montgomery to her father, Adam Montgomery.