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Monitoring Forms

Monitoring Protocol For School Districts Birth to 21

Part B (age three to 21)

Parental Consent for the Use of Public Benefits or
Insurance to Pay for Services under the IDEA

File Review

Part B File Review Checklist: Training Tool

Forms Review

Forms Review Checklist

Individual Model Forms

  • Student Assistance Team Report & Referral pdf
  • Prior Written Notice & Consent for Initial Evaluation pdf
  • Notification of Meeting pdf
  • Multidisciplinary Evaluation Team Report pdf
  • Prior Written Notice & Initial Consent for Services/Placement pdf
  • Individualized Education Plan (IEP) pdf
  • Notice for Change of Placement pdf
  • Consent to Invite Outside Agency to IEP pdf
  • Consent to Excuse IEP Member – Area Not Being Discussed pdf
  • Consent to Excuse IEP Member – Area Being Discussed pdf
  • Summary of Performance pdf
  • Review of Existing Evaluation Data pdf
  • Parental Revocation of Consent pdf

Part B Public Reporting and District Determinations, Technical Guide (pdf April 2016)

Part C (Birth to three)

File Review

Part C File Review IFSP Checklist (pdf)

Part C Desk Audit Checklist (pdf)


Part C Public Reporting and PRT Determinations, Technical Guide (pdf April 2016)


Updated July 2, 2021 12:28pm