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Home > Data Center > Reporting Forms > Special Services State & Federal Programs- Program Review

Updated 05/01/08...wl

SPECIAL SERVICES STATE / FEDERAL PROGRAMS

Form Name
Due Date

Request for Tuition Placement of Students with Disabilities  EF-S-01

As Required

Special Education Program Report EF-S-02

31-Jul

Request for Special Education Contract Approval EF-S-03 in XLS

Administrative Letter       Instructions in RTF

15-Oct or As Required

State Agency Clients Admission/Discharge Notice EF-S-04A in XLS

Monthly State Agency Clients Billing EF-S-04B in XLS

Administrative Letter       Instructions in RTF

As Required

Report of Services to Students with Disabilities Parts I & II EF-S-05 Login Page

31-Dec

Request for Subsidy Allocation of Tuition & Board for Students with Disabilities EF-S-07

31-Jul

Local Entitlement Application -- Special Education EF-S-08

15-Aug

Annual Financial Report of Federal Program Expenditures -Education of Handicapped - IDEA Local Entitlement EF-S-09E

15-Aug

Year-End Report of Special Purpose Private Schools (CARES)  EF-S-10

15-Aug

Individualized Family Service Plan (IFSP) Form

 

EPS High Cost Out-of-District Placement Adjustment EF-S-214 in XLS

Administrative Letter (dated 03/25/08)

18-Apr

Contacts:

John KiersteadTom Coulombe or Nancy Connolly

Tel:  207-624-6650      Fax:  624-6651

 

PROGRAM REVIEW

Form Name

Due Date

Advance Written Notice of I.E.P./I.F.S.P. Team Meeting in RTF or Word

(For Local Use Only)

Parental Consent for Evaluation in RTF or Word (For Local Use Only)

 

Individualized Education Program (IEP) in RTF or Word

Sample 1 in RTF

Sample 2 in RTF

Sample 3 in RTF

Sample 4 in RTF

Sample 5 in RTF

 

(For Local Use Only)

Written Agreement for IEP Amendment in RTF or Word (For Local Use Only)

 

Written Notice in RTF or Word

Sample Amendment in RTF

Sample Annual in RTF

Sample Graduation in RTF

Sample Placement in RTF

Sample Re-Evaluation in RTF

Sample Referral Step 1 in RTF

Sample Referral Step 2 in RTF

 

(For Local Use Only)

Documentation for Excusal of IEP Team Member Whose Curriculum Area IS Being Discussed in RTF or Word

(For Local Use Only)

Documentation of Agreement of Non-Attendance for IEP Team Member Whose Curriculum Area IS NOT Being Discussed in RTF or Word

(For Local Use Only)

Learning Disability Evaluation Report in RTF or Word

(For Local Use Only)

Summary of Performance in RTF or Word

Sample 1 in Word

Sample 2 in Word

(For Local Use Only)

Contact:

Anna Feeney or Jean Dupont

Tel:  207-624-6650      Fax:  207-624-6651

Form Name

Date

Individualized Family Service Plan (Part C IFSP) in RTF or Word

As Required

Contact:

Debra Hannigan

Tel:  207-624-6660      Fax:  207-624-6661

 

Speech Severity Matrix and Supporting Documents

Form Name
 

Severity Rating Scales/Guidelines for Speech/Language Communications Services in RTF or in DOC

As Required
Speech/Language Eligility Criteria in RTF or in DOC As Required
Teacher Input/Articulation, Language and Voice in PDF As Required