IEP Meeting Notice Form

IEP Meeting Notice Form

This notice is to inform the parent/guardian or eligible student of a scheduled meeting to develop, review, or revise an Individualized Education Program (IEP). The school district requests your participation in decisions regarding evaluation, educational placement, and the provision of special education and related services. You have the right to invite persons with knowledge or special expertise about the student and to receive notice of your procedural safeguards.

Student Information

Parent / Guardian or Eligible Student

Meeting Details

Proposed Meeting Date:    Start Time:    End Time:

Meeting Format (select all that apply):

In person    Telephone participation    Video conference    Other:

Purpose of the Meeting

The meeting will address (check applicable):
Initial evaluation to determine eligibility for special education
Annual IEP review
Triennial reevaluation review
Transition planning (post-secondary goals)
Review of progress and services
Eligibility determination
Manifestation determination (discipline)
Consideration of positive behavior interventions and supports
Other:

Proposed Attendees

The following individuals are requested to attend (check all intended attendees):
Parent/Guardian or Eligible Student
Student (when appropriate)
Special Education Teacher or Provider
Regular Education Teacher (if applicable)
District Representative with authority to commit resources
Related Service Provider(s):
Evaluation Representative/School Psychologist
Interpreter requested:
Other:

Documents to be Considered

Documents and records to be reviewed at the meeting (check all that apply):
Present Levels of Academic Achievement and Functional Performance
Evaluation reports and assessments
Progress monitoring reports and report cards
Behavior intervention plan (BIP)
Current accommodations and modifications
Draft IEP or proposed services
Parent/guardian input and medical information
Other:

Procedural Notices and Rights

You have the right to participate in the development of the IEP, to receive prior written notice of proposed actions, to review educational records, and to provide written input. If you disagree with an evaluation, you may request an independent educational evaluation at public expense in accordance with procedural safeguards. If you require an interpreter or other reasonable accommodations to participate, indicate that below. Audio or video recording of the meeting without prior consent of all parties is not permitted.

Interpreter / Accommodation Needed:

Yes — language:
Yes — accommodation needed:
No accommodations requested

Respond to this Notice

Please indicate whether you plan to attend and the preferred participation method. If you cannot attend, you may provide written input or request alternate arrangements such as phone participation.

I plan to attend: In person    By phone    By video conference    Will not attend

Additional Notes / Administrative Use

Sign Now