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APPENDIX |
| A. |
ADE REQUIRED FORMS |
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1. |
DUE PROCESS, APPLICABLE TO AGES 3-21 |
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Record of Access, Ages 3-21 |
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Referral Form, Ages 3-21 |
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Notice of Conference, Ages 3-21 |
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Conference Notice Enclosure, Ages 3-21 |
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Documentation of Receipt of Rights Under The Individuals
With Disabilities Education Act, Ages 3-21 |
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Referral Conference Decision Form, Ages 3-21 and Notice of
Decision |
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Information Regarding Consent, Ages 3-21 |
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(1)
Informed Consent |
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(2)
Temporary Placement Consent |
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(3)
Parental Consent to Release of Personally Identifiable
Information |
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Systematic Observation of Student Performance |
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Group Report for Specific Learning Disability (SLD) |
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Evaluation/Reevaluation Decision Form, Ages 5-21 |
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(*)
Evaluation/Programming Conference Decision Form and Notice
of Decision |
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(*)
Existing Data Review and Notice of Decision |
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Parent Consent For Initial Placement, Ages 3-21 |
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Separate Programming Conference Decision Form, Ages 3-21 and
Notice of Decision |
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Annual Review Form, Ages 3-21 and Notice of Decision
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SAMPLE: Letter of Agency Notification |
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IEP Team Member Excusal from
Attendance at IEP Meeting
|
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(1)
Form A |
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(2)
Form B |
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2. |
DUE PROCESS, APPLICABLE
ONLY TO AGES 3-5 |
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Early Childhood Special Education Social History |
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Early Childhood Special Education Evaluation/Programming
Conference Decision Form and Notice of Decision |
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Early Childhood Special Education Existing Data Review,
Decision Form and Notice of Decision |
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Early Childhood Special Education Parental Decision for
Nonparticipation in Preschool Special Education Services
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3. |
INDIVIDUALIZED EDUCATION PROGRAM FORMS |
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4. |
YOUR RIGHTS UNDER THE IDEA |
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5. |
SPECIAL USE |
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a. Due Process Hearing/Expedited Hearing
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IMPARTIAL DUE PROCESS HEARING FORMS |
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REQUEST FOR HEARING - PARENT |
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REQUEST FOR EXPEDITED HEARING - PARENT |
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REQUEST FOR HEARING - PUBLIC AGENCY |
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REQUEST FOR EXPEDITED HEARING - PUBLIC AGENCY |
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b.
MEDIATION PROCESS |
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c. Functional Behavior
Assessment (FBA)
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PROCESS FOR FUNCTIONAL ASSESSMENT OF BEHAVIOR |
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FUNCTIONAL ASSESSMENT OF PROBLEM BEHAVIOR |
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d. Manifestation Determination Review (MDR) |
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CONDUCTING A MANIFESTATION DETERMINATION REVIEW |
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MANIFESTATION DETERMINATION REVIEW |
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e.
Notice Regarding Issues in Parental Private School Placement |
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f. Surrogate Parent |
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FORM SP-1 |
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FORM SP-2 |
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FORM SP-3 |
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FORM SP-4 |
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SURROGATE PARENT SAMPLE LETTER |
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g. Transfer of Rights
(AGE 18) |
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NOTIFICATION TO PARENTS OF TRANSFER OF RIGHTS |
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NOTIFICATION TO YOUTH OF TRANSFER OF RIGHTS |
| B. |
STUDENT PARTICIPATING IN STATEWIDE ASSESSMENT GUIDELINES FOR
IEP TEAM DECISION MAKING |
| C. |
ADDITIONAL CRITERIA FOR SPECIFIC LEARNING
DISABILITY DETERMINATION |
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SLD ELIGIBILITY: METHOD FOR DETERMINING DISCREPANCY ANALYSIS
|
| D. |
LIST OF ACRONYMS |
