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. (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 2009. For the 2008-2009 form set.]