FORM
32 TRIENNIAL REEVALUATION
DETERMINATION
This form
is
to be completed prior
to
each triennial
IEP
in
order to document the LEA’s process for
determining if further assessment is needed to inform
the
IEP Team at a
triennial IEP meeting (See 30
EC 56381). Remember, parent/guardian/surrogate or
adult student input
regarding whether or not
further assessment is required.
Indicate the student’s name, birthdate, school
(current school of attendance), date of determination
(date triennial reevaluation need was determined),
the
due date of
the
NEXT triennial IEP, and the student’s case manager
as indicated in SEIS.
The LEA
should check all four boxes:
Existing assessment data has been reviewed, including assessments provided by the parents
Current classroom based assessments have been reviewed
Teacher and related service providers observations have been reviewed Parent/guardian/surrogate or adult student input
has
been reviewed and
considered
Mark “Yes” if it is determined that some level
of formal assessment
is
needed (even if it is only academic, or another area). If the answer is “Yes”
mark the appropriate boxes below this section to indicate exactly what types of
formal assessment will
be completed.
Mark “No” if no additional formal assessment will be completed in any domain,
to
include academics. Lastly, if the “Yes” box
was check and it
was
determined that additional
assessment was needed,
indicate why by checking the appropriate boxes.
Likewise, if the “No” box
was checked that indicated no additional formal
assessment was needed
write a brief statement as
to why (for
example, “it
is
deemed that current,
appropriate assessment data is available to
inform
the
IEP Team
regarding the educational or
related service needs,
including approved academic achievement and functional
performance, of the pupil”).
NOTE: There is no requirement in state or federal law or regulation to obtain a parent/guardian/surrogate or
adult student’s signature to substantiate the above process was followed; however, it is recommended the LEA’s do so in order to document the parent/guardian/surrogate or adult student participated in the process.
[Excerpted from the State SELPA IEP Manual, July, 2013]