FORM 9B SPECIFIC
LEARNING DISABILITY
DISCREPANCY DOCUMENTATION REPORT IEP
TEAM CERTIFICATION
This form
documents the presence of a specific learning disability in instances when the student’s standardized testing results do not
exhibit a severe discrepancy between ability and achievement.
Legal Citation: Ed. Code Section 3030j
Paragraph C
A draft of this form
may
be completed prior
to
the IEP meeting, but
more typically is completed
during the IEP meeting with extensive discussion and final
decision reached by the IEP team during that meeting.
The Case Manager completes the form with input from the appropriate IEP team members
(School Psychologist, Special Education Teacher, General
Education Teacher, etc.)
• Fill out the appropriate information based on the evaluations including intellectual ability and
academic achievement.
• As the testing results did not indicate a severe discrepancy the decision is based on
information provided by the parent, information provided by the student’s teacher,
observations, work samples, state testing results or other group testing scores.
• The student’s chronological
age
is taken into consideration and
any other relevant supporting information is documented
[Excerpted from the State SELPA IEP Manual, July, 2013]