Update on Required State Forms

INFORMATIONAL LETTER: 69
POLICY CODE: IHBA/CH

TO: Superintendents, Special Education Directors, CDS Regional Site Directors
FROM: Susan A. Gendron, Commissioner
DATE: January 17, 2008
SUBJECT: Update on Required State Forms

The Department has developed two additional special education forms that are required for determining a child’s eligibility for Speech or Language Impairment services and one that is optional for recording the classroom observation. These new forms are:

Severity Rating Scales/Guidelines for Speech/Language Communications Services
Speech/Language Eligibility Criteria
Teacher Input/Articulation, Language and Voice (optional, helpful for the classroom observation)

The new forms, along with those listed below, can be accessed electronically at: http://www.maine.gov/education/forms/specservices.htm . Please reference the date at the bottom of each form for the most current revision. Additions and corrections to the sample forms are also now available at the web address listed above.

Individualized Education Program (IEP) (revised, based on Legislative Action, June 2007)
Individualized Family Service Plan (IFSP)
Written Agreement for IEP Amendment
Documentation for Excusal of IEP Team Member Whose Curriculum Area Is Being Discussed
Documentation of Agreement for Non-Attendance of IEP Team Member Whose Curriculum Area Is Not Being Discussed
Written Notice (revised, based on legislative action, June 2007 and to reflect additions for CDS meetings)
Summary of Performance
Advance Written Notice of I.E.P./I.F.S.P. Team Meeting
Parental Consent for Evaluation
Learning Disability Evaluation Report

The forms have been developed in keeping with the objective of paperwork reduction and in order to ensure that the State does not exceed the minimum federal requirements. Utilization of State forms will also ensure compliance with the federal regulatory requirements and consistent documentation throughout the State. These are standardized documents, must be used as they are and cannot be modified per individual choice.

Contact Jaci Holmes for clarification on speech forms at 624-6620 or jaci.holmes@maine.gov and Anna Feeney at 624-6674 or anna.feeney@maine.gov for all other form-related questions.