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34. |
Response to an
Activity Requested by Parents/Guardian |
| |
When to use this form:
This form is used by school district
administrators/designee to respond to a parent/guardian
request to either initiate or not initiate an action
regarding their child’s individualized educational
program. The form identifies what action the school
district proposes or declines regarding the
parental/guardian request. |
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Printable Version
Computer Version
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35. |
Parent/Guardian
Consent to Provide Personalized Transportation |
| |
When to use this form:
This form is used by special education staff to obtain
parental/guardian consent for the district/cooperative
to transport students in vehicles other than the
district’s school buses to individualized programs
and/or activities. For example: The district uses a
private vehicle to transport students to a day school
program or preschool children on a field trip. |
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Printable Version
Computer Version
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36. |
Authorization by
Parents/Guardian to Release Personally Identifiable
Information to Third Party or Class of Parties |
| |
When to use this form:
This form is used by school administrators/designee to
obtain parental/guardian consent to disclose personally
identifiable student information to a third party or
class of parties. For example: The parents request a
copy of the school district/cooperative’s psychological
report released to a medical doctor. |
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Printable Version
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37. |
Notice of
Destruction of Information |
| |
When to use this form:
This form is used by administrators/designee whenever
the district or cooperative determines that any of its
personally identifiable student data is no longer
needed. Notice must be given to the student’s
parents/guardian of the district/cooperative’s intent to
destroy the data. The form gives notice to the
parents/guardian, identifies the data to be destroyed,
the date of destruction, and appropriate time for the
parents/guardian to obtain the data before it is
destroyed. |
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Printable Version
Computer Version
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42. |
Parental Rights and Procedural Safeguards
(English Version) |
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When to use this form:
This form is a Department of Education document that
provides parents/guardian with a description of their
procedural safeguards and rights under the Individuals
with Disabilities Education Act. Special education staff
and administrators are required to give parents/guardian
a copy of their rights once a year, upon request, or
prior to a due process hearing. |
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Printable Version
 |
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43. |
Parental Rights and Procedural Safeguards
(Spanish Version) |
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When to use this form:
This form is a Department of Education document that
provides parents/guardian with a description of their
procedural safeguards and rights under the Individuals
with Disabilities Education Act. Special education staff
and administrators are required to give parents/guardian
a copy of their rights once a year, upon request, or
prior to a due process hearing. |
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Print Version
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