Cover Sheet (Form A)

Printed IEP Address Removal Option:

• Do not click - leave personal information in IEP

Optional

Load Evaluation Information Into IEP:

• Do click to update information on eligibility from current locked MET

Optional

Post-Secondary Transition Override:

• Click only if needing to add transition sections to a student younger than 16

• Transition starts the IEP year the student turns 16, but the school/IEP can start transition services earlier. Example: district may start transition services for all 9th graders regardless of age.

Optional

Testing Dates and Results:

Hearing Date: Date of hearing screening Results: Complete

Vision Date: Date of vision screening Results: Complete

Language Survey Date: Date PHLOTE form completed Results: Complete, if other than English

AZELLA Test Date: Only if taken the AZELLA Results: Complete, if taken the AZELLA

Test Result Clarification: Any additional information

Optional

Category of Eligibility / Least Restrictive Environment (LRE):

Complete, if not uploaded from current evaluation

• Match student's current Eligibility

• Student needs only primary category identified

• If student is MD or MDSSI, then complete Multiple Disabilities Worksheet

SLD: Only select areas in which student actually qualified in from current MET

DD: Only select areas in which student actually qualified in from current MET

PSD: Only select areas in which student actually qualified in from current MET

Optional

Multiple Disabilities Worksheet:

Complete, if not uploaded from current evaluation - only select areas in which student actually qualified in from current MET

Multiple Disabilities (MD): Students with a disability with 2 or more of the following:

• Hearing Impairment

• Orthopedic Impairment

• Moderate Intellectual Disability

• Visual Impairment

And one or more of the following disabilities exist concurrently with any of the above:

• Mild Intellectual Disability

• Emotional Disability

• Specific Learning Disability

Multiple Disabilities with Severe Sensory Impairment (MDSSI): Students has a severe Visual OR Hearing Impairment in combination with one or more of the following disabilities:

• Autism

• Orthopedic Impairment

• Moderate or Severe Intellectual Disability

• Multiple Disabilities

• Emotional Disability

Optional

Meeting Information:

Type of Mtg: Document Initial, Annual, Transfer, or Addendum IEP

Mtg Notice Sent: Date that first notice was sent to parents

Alternative Parental Participation: Mark if parents participate by other means:

Type: Conference Call, Home Visit, Video Conference, Other

Other Descriptions: Document type of parent participation

Parent Involvement:

Documentation attempts to request parent involvement and to attend the IEP meeting with Meeting Notices

• Complete information from Meeting Notice

• Update if parent/guardian did not attend scheduled IEP meeting, but participated through Alternative means

You have to document that numerous attempts were made to get parent input and that the team/district tried several different ways to contact the parent.

Progress Reporting Time Periods:

• Use actual dates of when progress reports will be given to parents

• Typically at the quarter, starting with the quarter after the IEP

  • October, December, March, May Dates

Progress Reports