Raleigh CountySchool District

Making A Difference One Student At A Time

IEP and Related Forms

WV Dept. of Ed. - Forms

504 Forms

Accommodation Sheets

• Accommodation Sheet 1
• Accommodation Sheet 2

Annual IEP Schedule

    2021-2022

• Annual IEP Schedule 21-22 (download .doc)
• Annual IEP Schedule 21-22 (Fillable .pdf)

    2022-2023

• Annual IEP Schedule 22-23 (download .doc)
• Annual IEP Schedule 22-23 (Fillable .pdf)

End of School Year 2022 Forms

• Due Process & Checklist (download .doc)
• Due Process & Checklist 21-22 (fillable .pdf)

Extended School year (ESY) Guidance

• ESY Dates 2022
• ESY Enrollment Form 
• Regression Recoupment Form

IEP Examples

• YES - ESY is Needed
  
• NO - ESY is not Needed
  
• DEFER - Defer decision

IEP

• Teach IEP
• IEP Login
• IEP Helpdesk

Transition Forms

• STEPS

• Worksite Skill Checklist

• Parent Transition Survey for APTA

• Age of Majority Brochure

• Community Agencies/Transition

  Middle School

• Career Interest Survey
• Parent Transition Survey

  High School

• Student Interest Survey
• Parent Transition Survey

Teacher Forms

• Teacher Schedule Option 1
• Teacher Schedule Option 2

Please email your schedule to your Specialist, click HERE for list with
contact information.
(For Aide Schedule use Teacher Schedule, put "Aide" by name)

Agenda for IEP Meeting

Classroom Teacher Interview

Consent for Direct Special Education

Co-Teach Lesson Plan

Lesson Plan Template

DP9_Fillable (Change in Services)

DP9 PDF

Guidelines for participating in West Virginia State Assessment

IDEA Process Forms

IEP Forms

• Access List
• Disclosure List
• Consent to Release Information and Bill Medicaid (PDF)
• Medicaid Annual Notice to Parents Parental Consent to Access Public Benefits or Insurance (PDF)
• Letter from DHHR (PDF)

Memorandum of Conference

Memorandum of Conference (Fillable)

Notice of Intent to Screen

Parent/Caregiver Interview

Reciprocal Consent to Release Information
(PDF) | (WORD) updated 3/28/22

Therapy Schedule

Transportation Request (DP 1.3 C-7) (fillable) updated 10/19/21

School Forms

• BEHAVIOR

  Behavior and Intervention Log - Student
  FBA BIP Process Forms (updated 08/10/17)

  BIP Fillable (updated 9/27/17)

  Discipline Tracking Sheet

  Restraint Documentation

  Discipline Review Form

  SAT Directions/Forms