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Pennsylvania homeschool letter of intent

Fill in the notarized affidavit in your browser, check it against what the law asks, and print it. Nothing you type is stored or sent.

This is general information, not legal advice; check your state's own page. Laws change, and Pennsylvania's own statute and education department are the final word. The links below go straight to them.

Deadlines, forms and amounts checked on against the sources linked on this page.

What Pennsylvania's law asks for

Who it goes to
The superintendent of your school district of residence
When
Before the program starts, then by August 1 each year
What it says
Each child's full name; Name of the person who will teach; Age; Home address; Phone number. The subjects required by law are offered in the English language. An outline of proposed education objectives by subject area is attached. Evidence is attached that each child has been immunized as section 1303(a) requires and has received the health and medical services required for students of the child's age or grade level in Article XIV. The home education program will comply with section 1327.1 of the Public School Code, and this notarized affidavit is satisfactory evidence of that. I, the supervisor, certify that I, all adults living in the home, and all persons having legal custody of a child in this home education program have not been convicted of the criminal offenses listed in subsection (e) of section 111 within the five years immediately before the date of this affidavit. With it: an outline of proposed education objectives by subject area; evidence of immunization and of the required health and medical services for each child. It is notarized.Source: Pennsylvania Public School Code, section 1327.1 Home Education Program (General Assembly)

The full rule, in plain words: File a notarized affidavit with the superintendent of your school district before the home education program starts, and again every year on August 1. It names the person who will teach, each child's name and age, the address and phone of the program, an outline of education objectives by subject, and proof of immunization and the health services the law lists. It also certifies that no adult in the home has been convicted of the listed crimes in the past five years.

The superintendent of your school district of residence. Type the name and address of the office.
Your child

Nothing you type here is saved or sent. Print the letter (or save it as a PDF from the print window) before you close the page.

Your letter

Date: ________________

To: ________________

Notarized Affidavit

I, ________________, submit this notarized affidavit: my children named below will be educated at home, under section 1327.1 of the Public School Code of 1949.

NameAge
________________________________
Name of the person who will teach
________________
Home address
________________
Phone number
________________

The subjects required by law are offered in the English language. An outline of proposed education objectives by subject area is attached.

Evidence is attached that each child has been immunized as section 1303(a) requires and has received the health and medical services required for students of the child's age or grade level in Article XIV.

The home education program will comply with section 1327.1 of the Public School Code, and this notarized affidavit is satisfactory evidence of that.

I, the supervisor, certify that I, all adults living in the home, and all persons having legal custody of a child in this home education program have not been convicted of the criminal offenses listed in subsection (e) of section 111 within the five years immediately before the date of this affidavit.

Enclosed:

  • An outline of proposed education objectives by subject area
  • Evidence of immunization and of the required health and medical services for each child
SignatureDate

Notary

Sworn to and subscribed before me this ______ day of ________________, 20____.

Notary publicMy commission expires
Sign it by hand in front of a notary, keep a copy, and send it the way the office accepts (ask whether it wants its own form).

Where this comes from

Checked on October 29, 2026. This is general information, not legal advice. Laws and forms change; confirm a date with your school district or the state agency before you rely on it. For legal advice, ask a lawyer licensed in Pennsylvania; homeschool legal-help organizations and your state's homeschool groups can also point you to help. Something out of date? Tell us and we will fix it.