DON Reassignment Request Form

You will need the assessment ID (AID) in order to advance through this form.

If you do not have the AID, please contact the IL PASRR Help Desk

(1-833.727.7745) and we will work with you to locate the correct record for reassignment.

Submitter Contact Information

Thank you for submitting a DON Reassignment Request. Please provide us with your contact information in the event that we need additional detail to complete your request.

Submitter Name (First / Last)

Submitter Phone Number

Please provide a phone number where we can reach you with questions regarding your request.

Phone

Submitter Email

We will email you when your request has been completed.

Reason for Reassignment

DON Reassignment Detail

You will need the assessment ID (AID) number to advance through this form. If you do not have the AID, please contact the IL PASRR Help Desk (1-833.727.7745) and we will work with you to locate the correct record for reassignment.

Assessment ID (AID)

Currently Assigned To

New Assignment Desired

Individual's Current Location

Please provide the current location of the individual.

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