FHSEC Guide to Required Forms

Parents Rights and Parent Consent for Release of Information and Medicaid Reimbursement
(Provided at Initial Eligibility and once each subsequent IEP year)

Exits
Initial Eligibility D-​Dropped
or H-​has L​ – Left State
Annual IEP Transfer-In Out/Left
Re-evaluation Amendment to IEP O-​Objectives G-​Graduation W-​Written earned or is and known to
Review IEP State and
Change from DD to a Specific Exceptionality Completed M-​Aged Out revocation of enrolled in a be continuing
not know to
(Change before 10​th​ birthday) (21) services GED T​ – Known to
be
program be continuing
continuing
IEP Amendment Revocation of
Notice of Meeting Form Notice of Meeting Form Consent Form
Between Annual
(must be provided in writing at least 10 calendar days prior to meeting) (must be provided in writing * Must let
Meetings Form
● File document on WebKidss after each attempt/date change at least 10 calendar days prior to Brenda know
*If parent wants a meeting) ​(Allison will
● Parent Written Consent if 10 calendar days waived
meeting, NOM and send a RWA
● Upload document with parent signature and place original in SPEC file
TMR must be done letter)
Prior Written Notice for Evaluation/
Prior Written
Re-evaluation Form
Notice for Summary of Prior
● File document on WebKidss and in SPEC file
Eval/Re-eval Performance Written
● Note date consent received
Form (Grad Seniors) Notice
● Upload signed document with parent
signature
Evaluation/ Eligibility Report Evaluation/
● File document on WebKidss and in SPEC file Eligibility Exit Interview
● Upload document with evaluation team Report (Grad Seniors)
signatures

Team Meeting Record

Upload Team Meeting Record to Webkidss and place form in SPEC file

Prior Written Notice for Identification, Initial Services, Ed Placement, Change in Services/Placement & Request for Consent Form
● Used to document eligibility decisions and to provide notice of ​ANY​ change to the IEP
● Upload document in WebKidss and place original in SPEC file
● Upload documents that describe changes that require consent; PWN with parent signature
Exit Form
IEP (Individual Education Plan)
Initial Evaluations: ​Create IEP only if student is found eligible
Transfer-in:​ Fill-in Demographics, Goals, Special Education & Related Services, State/District
Dates Page: ​Change Ed Status; Enter Exit Date and Evidence
Assessments pages, and the Anticipated Services Chart if the team accepts IEP.
Send entire Special Education file to FHSEC-MIS Clerk
Amendments:​ Add amendment record in Webkidss and SPEC file, make changes to appropriate
pages, mark Page Complete

Forms highlighted with yellow ​MUST​ be:

● Filed with original copies uploaded to WebKIDSS included in SPEC file within 5 school days after the meeting is held
Click submit student button on demographics page to indicate that the IEP meeting was held and the IEP is complete.

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