The PA Home Education Affidavit

“(1) A notarized affidavit of the parent or guardian or other person having legal custody of the child or children, filed prior to the commencement of the home education program and annually thereafter on August 1 with the superintendent of the school district of residence and which sets forth:

the name of the supervisor of the home education program who shall be responsible for the provision of instruction;
the name and age of each child who shall participate in the home education program;
the address and telephone number of the home education program site;
that such subjects as required by law are offered in the English language,
including an outline of proposed education objectives by subject area;
evidence that the child has been immunized in accordance with the provisions of section 1303 (a) and has received the health and medical services required for students of the child's age or grade level in Article XIV;
and that the home education program shall comply with the provisions of this section
and that the notarized affidavit shall be satisfactory evidence thereof.

The required outline of proposed educational objectives shall not be utilized by the superintendent in determining if the home education program is out of compliance with this section and section 1327. The affidavit shall contain a certification to be signed by the supervisor that the supervisor, all adults living in the home and persons having legal custody of a child or children in a home education program have not been convicted of the criminal offenses enumerated in subsection (e) of section 111 within five years immediately preceding the date of the affidavit.”

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You may begin homeschooling at any time during the school year. The affidavit must be filed with your district of residence superintendent when you first begin homeschooling, and every year thereafter by August 1st. PHEA strongly suggests sending all paperwork to the district by “return receipt requested” mail or obtaining a receipt of documents from the district employee accepting the affidavit and objectives. No approval is required; as soon as you hand in the required documents, you may begin your home education program.

Click here to access the PHEA School District Violations page

Below is an affidavit example to copy and paste into a word processing program.

Click here for the PDE .pdf version of the home education affidavit. Note the PDE does not require proof of diploma.
PDE HomeEd Affidavit.

Click here for an affidavit in PDF format: Affidavit.pdf

Click here for an affidavit in a Word doc: HomeEdAffidavit.doc

Click here for a PDF file of the PA Department of Health mandated health requirements for PA students

Click here for the PA regulation regarding Immunization Exemption

Click here for a letter to a PHEA Advisory Board member from PDE concerning medical record privacy.

How To Legally Avoid Unwanted Immunizations Of All Kinds
http://www.mercola.com/article/vaccines/legally_avoid_shots.htm

Pennsylvania Home Education Program Affidavit

Name of school district___________________________________________________________

Name of County________________________________________________________________

School Year ____________________________

Program supervisor____________________________________________________________

Home Education Program Location-(address & phone #)
_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________


Name of child / Age___________________________________________________________

I, ______________________________________, attest that I am the legal guardian of the above named child/ children, and am responsible for the home education program for the required time of 180 days or 900 hours for elementary / 990 hours for secondary.
Instruction will be provided in the subjects required by Section 13-1327.1 of the Pennsylvania School Code and given in the English language.
I attest that I have a high school diploma or its equivalent.
I attest that I have on file evidence of immunizations and medical examinations in accordance with the provisions of section 1303(A) and Article XIV or evidence of medical, religious or ethical exemption as per 28 PA Code § 23.84,  Exemption from immunization.

I attest that the home education program shall comply with the provisions of section 1327.1 also known as Act 169, and that the notarized affidavit shall be satisfactory evidence thereof.

Attached is an outline of educational objectives by subject area in accordance with Act 169 of the Pennsylvania School Code.

No adults living in this home have been convicted of criminal offenses enumerated in subsection E of Section III within 5 years immediately preceding the date of this affidavit.

Signature___________________________________________________________________ Date__________

Notarization :

Questions on affidavits? Email PHEA@phea.net