At least one month before the annual review date contact your coordinator to

schedule the date of the meeting.

Let’s get started!

(NOC) Parent/Guardian Notification of Conference (Form K)Student’s Name: (Do not use nicknames or

shortened versions of the name.) ISBE states use the student’s legal name.

First Middle LastDates: ISBE states use a six-digit number (month,

day, year 09-09-12)Address the NOC to the parent or guardian. (If the

student is 18 yrs old, the NOC is addressed to the student. If the student has signed Form Q-2 Delegation of Rights to Make Educational Decision, include parent in the invited individual section using name and title. If Q-2 is not signed, in the bottom left hand corner. cc parent

NOC (Form K) continuedPurpose of the Conference boxes

Always check box 4 Review/develop IEPIf Domain mtg boxes 1, 4, and Other (write

in Annual Review/Domain Mtg) If student will be 14 ½ or older (Transition)

boxes 4 and 5 (Please remember to invite the student and outside agency MUST HAVE parent consent (Form CC) prior to sending invite)

If BIP boxes 4,7,8Other (write on line Annual Review)If graduating boxes 4,5,11

NOC (Form K) contiunedInvited individuals

Parents Student (if 14 ½)

Outside Agency (MUST have signed CC prior)Regular Education Special EducationLEA RepresentativeCoordinatorRelated Service providers (Speech, Social

Worker, OT, PT, Vision, Hearing, etc.)Interpreter (if needed)

NOC (Form K) continuedAs a courtesy please share date, and time of meeting with related service providers prior to sending out NOC.

NOC (Form K) ContinuedCopy on back of invite – District

Behavioral Intervention Policy (Please fill out with district’s name, number, contact person, and put on district letterhead)

Send copies to One copy to BMPCopies to your building personnal (reg. ed.

Teacher, LEA Rep., speech, etc.)3 Notices to parents (1st at least 20 days before

AR mtg., 2nd and 3rd notices need to be documented on IEP)

Sample of Consent to Release or Obtain Student Information

Parent Consent for Billing Public Insurance (Form Z-5)Please fill out top of form Z-5

Student’s legal name (first, middle, last)Date of birth (use six-digit number 09-09-12)Attending schoolAttending District (name and number)Resident District (name and number)

Parent/Guardian Notification of Conference Recommendations (M)Student’s legal name (first, middle, last)Dates: use six-digit number (month, day, year

09-09-12)School year 2012/2013 or 2013/14Always check box 4If IAA testing check box 9If aging out check box 7If graduating check box 8Other (write in Annual Review, etc.)At the meeting, other boxes can also be checked

Ex. If changing related services or placement)

Parent/Guardian Notification of Conference Recommendations (M)

Please note: That a parent signature and date is needed if placement is to occur before the ten calendar day interval.

Page 1 of IEPStudent’s name: Use legal name. Do not use

nicknames or shortened versions of name. First Middle Last

Dates: use six-digit number (month, day, year 09-09-12)Date of meetingDate of last evaluationDate of next evaluation

Page 1 of IEP continuedPurpose of Conference

Check all boxes that apply to indicate the purpose of the meeting.If checking the other box, please type in the

reason

Page 1 of IEP continuedStudent Identification Information

Most of this information can by completed before the IEP meeting. However, it should always be checked for accuracy at the time of the meeting.Do NOT fill in the student’s Medicaid number.

This will be the only space left blank on page 1.Do Not fill in placement. This section must be

completed following the placement determination.District must include the name and number of the

school district.Language/mode of communication

ex. English/verbal

Page 1 of IEP continuedStudent Identification Information (cont.)

Ethnicity (This should match what your school has entered into SIS)

Current grade level (Many teachers are putting both grade levels covered in IEP so there is not confusion 3/4 or 3rd 2012-13, 4th 2013-14)

Page 1 of IEP continuedParent/Guardian Information

Most of this information can be completed before the IEP meeting. However, it should always be checked for accuracy at the time of the meeting.Surrogate parent (Indicate if an education

surrogate is required by checking the box provided.)Language/Mode of communication ex.

English/VerbalInterpreter (Use the yes/no box if interpreter is

required for the meeting.)

Page 1 of IEP continuedParticipants

Document the three attempts to notify the parent of the meeting with (type, date, person)

Participants will sign in at meeting.If parent is at meeting and an invited individual is not

able to attend, use Parent/Guardian Excusal of an Individualized Education Program Team Member (Form S)

Page 1 of IEP continuedProcedural safeguards

Fill in date that they were provided to parent

Transfer of RightsCheck appropriate boxes

Parents were given copy of Check appropriate boxes

IEP (if being mailed put date it was sent) District’s behavior intervention policies (It was

suggested earlier to copy these to the back of your invite (Form K)

Information Courtesy Please speak with your administration and

discuss prior to the IEP meetingIAA (data/documentation)Extended School Year (data/documentation)Paraprofessionals (individual and/or classroom)

data/documentation

Order of paperwork

Additional PowerPoint Presentations are available for remainder of the IEP.