Parental Consent for Evaluation Maine Unified Special Education Regulations (MUSER V.1A(4)(a)(i) & B(3)(a)(i)) Date of Meeting: SAU: Name: School: Date of Birth: Grade: School Phone: Parent/Guardian School Address: Name: Parent/Guardian City, Zip: Address: Parent/Guardian School Contact: City, State Zip: Date given/mailed to parent: Date received back from parent: For children 3-5 years of age, the IEP Team eligibility meeting due date will be 60 calendar days upon receipt of consent. For children 5-20 years, the IEP Team eligibility meeting due date will be 45 school days upon receipt of consent. IFSP Team eligibility meeting and development of IFSP due date will be 45 calendar days from the date of referral to the CDS site. Purpose of Evaluation: Initial evaluation Reevaluation Other The following is a description of the evaluations recommended for the above named child. Parents/adult student will be provided copies of evaluation reports at least three days prior to the Individualized Education Program (IEP) meeting or Individualized Family Service Plan (IFSP) meeting. At this IEP/IFSP meeting, we will explain the results of the evaluation and determine if the child is eligible, or continues to be eligible, for special education services as a child with a disability. If you have any questions about these procedures, please call at and we will discuss them with you. The IEP/IFSP Team members checked below gave input in regarding additional data needed to assist in determining whether your child is a child with a disability, the educational needs of your child, and in the case of a reevaluation, whether your child continues to have a disability and educational needs (MUSER V.3.A.).
Parental Consent for Evaluation Maine Unified Special Education Regulations (MUSER V.1A(4)(a)(i) & B(3)(a)(i)) Date of Meeting: SAU: Name: School: Date of Birth: Grade: School Phone: Parent/Guardian Name: School Address: Parent/Guardian Address: City, Zip: Parent/Guardian City, State Zip: School Contact: Date given/mailed to parent: Date received back from parent: For children 3-5 years of age, the IEP Team eligibility meeting due date will be 60 calendar days upon receipt of consent. For children 5-20 years, the IEP Team eligibility meeting due date will be 45 school days upon receipt of consent. IFSP Team eligibility meeting and development of IFSP due date will be 45 calendar days from the date of referral to the CDS site. Purpose of Evaluation: Initial evaluation Reevaluation Other The following is a description of the evaluations recommended for the above named child. Parents/adult student will be provided copies of evaluation reports at least three days prior to the Individualized Education Program (IEP) meeting or Individualized Family Service Plan (IFSP) meeting. At this IEP/IFSP meeting, we will explain the results of the evaluation and determine if the child is eligible, or continues to be eligible, for special education services as a child with a disability. If you have any questions about these procedures, please call at and we will discuss them with you. The IEP/IFSP Team members checked below gave input in regarding additional data needed to assist in determining whether your child is a child with a disability, the educational needs of your child, and in the case of a reevaluation, whether your child continues to have a disability and educational needs (MUSER V.3.A.).
Parental-Consent-for-Evaluation.docx