PRIOR WRITTEN NOTICE FOR INITIAL ASSESSMENT

 

The Prior Written Notice form must be completed and sent with the Assessment Plan for all initial referrals for assessment.

 

·        Evaluation procedure(s)List the types of assessment data that were used in making the decision to assess the student (i.e., observation, standardized testing, state-wide assessment, etc.).

 

·        Assessments List the assessments used to make the determination to engage in further assessment

 

·        Record(s) List any records that are or are not part of the student’s cumulative file to make the determination to assess.

 

·        “Alternatives considered/rejected” – List any other options that were considered and rejected such as intervention programs offered, curriculum adaptations, etc.

 

·        “Other factors” – list any other relevant factors to be considered such as:  the student has been retained, the student is working far below grade level, the student has received scientific-based intervention and has not responded, etc.

 

Legal Citations: 30 EC 56500.4

 

 

 

[Excerpted from the State SELPA IEP Manual, July 2009. For the 2008-2009 form set.]