IN LIEU OF IEP TEAM ATTENDANCE REPORT ITEM CLARIFICATIONS/INSTRUCTIONS 1 County and Student Complete/verify fields containing county, student name and Information demographic information. Include the date on which the form was completed. 2 Excused Team Member Enter the name of the excused team member and the specific area of curriculum or the related service for which the excused IEP Team member is responsible (e.g., English language arts, OT, Speech, Nurse). 3 Present Levels of Academic measurable and observable data to address how the student’s Achievement and Functional exceptionality affects his/her progress specific to academic or Performance/Impact nonacademic areas. This includes impact statement and targeted Statement/Targeted Standard(s) standards when appropriate. In relation to the present levels, enter recommendations for annual 4 Suggestions for Annual Goals Modifications/Accommodations/ goals, supplementary aids/modifications or services and the type and Services amount of special education or related services. 5 Excused Team Member The excused team member must sign the report, indicate his/her Signature, Position, Date position (e.g., math teacher) and date the report. 6 Parent/Adult Student Statement The parent must be given the opportunity to review the In Lieu of to the development of the IEP. and Signature prior IEP Team Attendance Report Secure the parent’s signature and date to document this has occurred.
IN LIEU OF IEP TEAM ATTENDANCE REPORT ITEM CLARIFICATIONS/INSTRUCTIONS 1 County and Student Information Complete/verify fields containing county, student name and demographic information. Include the date on which the form was completed. 2 Excused Team Member Enter the name of the excused team member and the specific area of curriculum or the related service for which the excused IEP Team member is responsible (e.g., English language arts, OT, Speech, Nurse). 3 Present Levels of Academic Achievement and Functional Performance/Impact Statement/Targeted Standard(s) measurable and observable data to address how the student’s exceptionality affects his/her progress specific to academic or nonacademic areas. This includes impact statement and targeted standards when appropriate. 4 Suggestions for Annual Goals Modifications/Accommodations/ Services In relation to the present levels, enter recommendations for annual goals, supplementary aids/modifications or services and the type and amount of special education or related services. 5 Excused Team Member Signature, Position, Date The excused team member must sign the report, indicate his/her position (e.g., math teacher) and date the report. 6 Parent/Adult Student Statement and Signature The parent must be given the opportunity to review the In Lieu of IEP Team Attendance Report prior to the development of the IEP. Secure the parent’s signature and date to document this has occurred.
SpecialEducationProcessFormswithInstructionsRevisedSeptember%202017.docx