Optional Notice of Intent Form

The Home Instruction Statute (§22.1-254.1) does not require that you use a form when filing your NOI and many homeschoolers choose to provide a letter instead, due to the often inaccurate wording of and extra information requested on the forms provided by local school divisions. However, some homeschoolers have found that using aform may expedite administration in some local school divisions.

You can download a copy of this form, complete it, and send it to your local superintendent of schools.

Note: There is some debate over whether homeschoolers need to provide birth date or grade level as it is not specifically required in the homeschool statute. While this information is not specifically asked for in the law, a case can be made that it is not unreasonable for this information to be included. Please feel free to modify the form provided as you see fit.

For additional information on preparing your NOI, see Filing Your NOI.

Note: Effective July 1, 2012, a description of curriculum is limited to “a list of subjects to be studied during the upcoming year.” You do not need to provide a book list or table of contents with your NOI in order to comply with the law. For more information about the level of detail required for your program of study/curriculum description, see All About Curriculum Descriptions.


I am providing notice of my intent to provide home instruction for the children listed below as provided for by Section 22.1-254.1 of the Code of Virginia (1950) as amended, in lieu of having them attend school.

School Year: ______




I am eligible to provide home instruction under the option indicated below. (Check one)

_____Option i: I have a high school diploma. A copy of my diploma is enclosed / on file in your office (select one).

_____Option ii: I am a certified teacher. A copy of my degree or license is enclosed / on file in your office (select one).

_____Option iii: I have provided a program of study or curriculum for my child(ren), which is delivered through a correspondence course, distance learning program, or any other manner. Evidence of enrollment / a copy of my program of study or curriculum is enclosed (select one).

_____Option iv: I have enclosed evidence of why I am able to provide an adequate education for my child(dren.)

Attached please find a description of curriculum, limited to a list of subjects to be studied for the upcoming year.

I understand that, if my child has reached age six by September 30 of this school year, I must provide evidence of educational achievement by August 1.

I hereby certify that I am the parent or guardian of the child or children listed above.

Signature_________________________________Date _______________

Print or type name and address:





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