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Due Process Complaint Notice - Preschool Early Intervention

Material Type:Forms & Formats
Interest Area(s):Office for Dispute Resolution (ODR)
ODR - Due Process
File Attachment(s):View Resource Online (Word document format 200KB)
View Resource Online (Pdf format 72KB)
Material Description:
This Due Process Complaint Notice is effective beginning July 2008. This new form can also be found in Appendix B of the Procedural Safeguards Notice which can be downloaded from the Preschool EI Forms page on the PaTTAN website.

Mediation Request Form - Preschool Early Intervention

Material Type:Forms & Formats
Interest Area(s):Office for Dispute Resolution (ODR)
ODR - Mediation
File Attachment(s):View Resource Online (Word document format 125KB)
View Resource Online (Pdf format 32KB)
Material Description:
Mediation Request Form is effective beginning July 2008. This new form can also be found in Appendix B of the Procedural Safeguards Notice which can be downloaded from the Preschool EI Forms page on the PaTTAN website.

Procedural Safeguards Notice - Preschool Early Intervention

Material Type:Forms & Formats
Interest Area(s):Office for Dispute Resolution (ODR)
ODR - Mediation
File Attachment(s):View Resource Online (Pdf format 181KB)
View Resource Online (Word document format 404KB)
Material Description:
Procedural Safeguards Notice - Preschool Early Intervention form revised June 2009. The request forms for mediation and due process hearing are included as Appendix B in this document. They can also be downloaded from the Preschool EI Forms page on the PaTTAN website.

AGREEMENT TO WAIVE REEVALUATION - Preschool Early Intervention

Material Type:Forms & Formats
Interest Area(s):Individuals with Disabilities Education Act (IDEA)
File Attachment(s):View Resource Online (Word document format 75KB)
View Resource Online (Pdf format 37KB)
Material Description:
This form is effective beginning July 1, 2008. This new form is used to obtain parental agreement to waive a reevaluation.

NOTICE OF RECOMMENDED EDUCATIONAL PLACEMENT/PRIOR WRITTEN NOTICE (NOREP/PWN) - Preschool Early Intervention

Material Type:Forms & Formats
Interest Area(s):Individuals with Disabilities Education Act (IDEA)
File Attachment(s):View Resource Online (Pdf format 43KB)
View Resource Online (Word document format 118KB)
Material Description:
Notice of Recommended Educational Placement/Prior Written Notice form revised January 2009. This form summarizes recommendations for a child's preschool educational program and includes state and local resources that provide additional information on the special education process.

PARENTAL CONSENT TO EXCUSE MEMBERS FROM ATTENDING THE IEP TEAM MEETING - Preschool Early Intervention

Material Type:Forms & Formats
Interest Area(s):Individuals with Disabilities Education Act (IDEA)
File Attachment(s):View Resource Online (Word document format 45KB)
View Resource Online (Pdf format 17KB)
Material Description:
This form is effective beginning July 1, 2008 and reflects new provisions of revised Chapter 14. The Invitation to Participate in the IEP Team Meeting no longer contains the request for parental consent to excuse members of the IEP team from attending the IEP team meeting. This request now is made with this separate form, "Parental Consent to Excuse Members from Attending the IEP Team Meeting." .

PERMISSION TO EVALUATE - Preschool Early Intervention

Material Type:Forms & Formats
Interest Area(s):Individuals with Disabilities Education Act (IDEA)
File Attachment(s):View Resource Online (Word document format 50KB)
View Resource Online (Pdf format 23KB)
Material Description:
This form is effective beginning July 2008 and reflects new provisions of revised Chapter 14. The Consent Form must be issued by the Local Education Agency to obtain written consent to conduct an initial evaluation.

PERMISSION TO REEVALUATE - Preschool Early Intervention

Material Type:Forms & Formats
Interest Area(s):Individuals with Disabilities Education Act (IDEA)
File Attachment(s):View Resource Online (Word document format 68KB)
View Resource Online (Pdf format 21KB)
Material Description:
This form is effective beginning July 2008 and reflects new provisions of revised Chapter 14. The Reevaluation Consent Form must be issued by the Local Education Agency to obtain written consent to conduct a reevaluation.

Preschool Early Intervention Sample Contract and Contract Specifics

Material Type:Forms & Formats
Interest Area(s):Early Intervention - Preschool
File Attachment(s):View Resource Online (Word document format 29KB)
View Resource Online (Word document format 25KB)
Material Description:
Sample Preschool Early Intervention Contract Template and Exhibit A document for use when subcontracting with any agency for the provision of services on behalf of the MAWA holder.

Preschool Re-evaluation Report

Material Type:Forms & Formats
Interest Area(s):Early Intervention - Preschool
File Attachment(s):View Resource Online (Word document format 158KB)
View Resource Online (Pdf format 21KB)
Material Description:
Preschool Early Intervention Re-evaluation Report for required use by July 1, 2008. The Word format should be used when completing on a computer. The PDF format best used when completing by hand or to orient families/staff to the document.

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