PAPERWORK COVERSHEET - UCPS - Exceptional Children ...

Revised 5/03/09
Union County Public Schools
Exceptional Children’s Program
~PAPERWORK COVERSHEET~
TO: Secretary to Psychologists, E.C. Office
FROM:
SCHOOL:
STUDENT:
□ Initial Evaluation Packet
□ Intervention Team Forms
o Level I – Parent Notification
o Level I Forms (including vision/hearing screenings, any other relevant forms)
o Level II – Parent Invitation(s)
o Level II – Observation
o Level II Forms
□ Invitation to Conference
□ DEC 1 (pp. 1­4) Special Education Referral – (including vision/hearing screen results)
□ DEC 2 Consent for Evaluation/Reevaluation
□ DEC 5 (pp. 1­3) Prior Written Notice
□ Social/Developmental/Health History
□ Educational testing protocols and compuscores
□ Behavior/Adaptive Behavior rating scales (if any behavioral area is a referral concern)
□ *Transfer students only* – Copies of ALL paperwork/IEPs/evaluations received from former school
□ Re­evaluation Packet (if ANY evaluations involving the psychologist is requested):
□ Invitation to Conference
□ DEC 7 Reevaluation Determination Report
□ Vision/Hearing Screenings Results
□ DEC 2 Consent for Evaluation/Reevaluation
□ DEC 5 (pp. 1­3) Prior Written Notice
□ Social/Developmental/Health History
□ Educational testing protocols and compuscores
□ Behavior/Adaptive Behavior rating scales (if any behavioral area is a referral concern)
□ *Transfer students only* – Copies of ALL paperwork/IEPs/evaluations received from former school
□ Closing Paperwork for Initial Placement (OR) Re­evaluation After Testing Completed
□ Invitation to Conference
□ DEC 3 Summary of Evaluation/Eligibility Worksheet(s) – for ALL areas considered
□ DEC 3 Eligibility Determination
□ DEC 4 (pp. 1­10) IEP
□ DEC 4a (pp. 1 & 2) Secondary Transition Component – as applicable
□ DEC 5 (p. 1­3) Prior Written Notice
□ DEC 6 Consent for Services (if initial placement)
□ Data Sheet

Revised 5/03/09
Union County Public Schools
Exceptional Children’s Program
~PAPERWORK COVERSHEET~
TO: Data Manager/E.C. Office_________ SCHOOL: __________________________
FROM:
STUDENT:
□ Re­evaluation Packet when NO additional data or assessment is required
□ Invitation to Conference
□ DEC 7 Reevaluation
□ DEC 3 Eligibility Determination
□ DEC 4 IEP (if IEP is not due, send copy of page 4 with appropriate signatures)
□ DEC 4a (pp. 1 & 2) Secondary Transition Component – as applicable
□ DEC 5 (p. 1­3) Prior Written Notice
□ Data Sheet
□ Packet When Writing IEP’s or Making an Addendum on IEP
□ Invitation to Conference
□ DEC 4 (pp. 1­10) IEP (if addendum only, copy of pages with changes)
□ DEC 4a (pp. 1 & 2) Secondary Transition Component – as applicable
□ DEC 5 (p. 1­3) Prior Written Notice
□ Packet When Changing Educational Placement to Separate (Self­Contained)
□ Invitation to Conference
□ Form/Procedures for Consideration of Specialized Educational Setting (pp.1­4)
□ DEC 4 (pp. 1­10) IEP (if addendum only, copy of pages with changes)
□ DEC 4a (pp. 1 & 2) Secondary Transition Component – as applicable
□ DEC 5 (p. 1­3) Prior Written Notice
□ Packet When Completing Extended School Year (ESY) Eligibility
□ Invitation to Conference
□ Worksheet 2 Extended School Year Eligibility Worksheet
□ DEC 4 (pp. 1­10) IEP (if addendum only, copy of pages with changes)
□ DEC 5 (p. 1­3) Prior Written Notice
□ Packet When Completing Disciplinary Change in Placement
□ DEC 5(a) Prior Written Notice­Disciplinary Change in Placement (serves as Invitation to Conference)
□ Worksheet 4 (pp. 1­2) Manifestation Determination
□ DEC 4 (pp. 1­10) IEP (if addendum only, copy of pages with changes)
□ DEC 5 (p. 1­3) Prior Written Notice